Wufoo
IDEA Campaign Report Form
This is our report form. It helps us know how effective our campaigns are. Please fill it out. It's awesome!
Which campaign did you participate in?
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Pill campaign
Brain campaign
Heart campaign
What is the name of the participating organization?
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How did you hear about the campaigns?
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Facebook or Twitter
IDEA Newsletter
SADD Newsletter
IDEA Website
SADD Website
Other
How many campaign materials did you request?
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How many campaign materials did you receive?
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How many campaign materials did you distribute?
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Did you download and print the companion piece?
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Yes
No
Take a moment to explain how this campaign was implemented in your community. How was the community/student response? Is there anything that could be improved upon in the future? Be specific...we want to know as much about what you did as possible. If applicable, email any press coverage or photos you took to randyl.lynn@gmail.com
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Evaluate the following statements.
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Strongly Disagree
Disagree
Agree
Strongly Agree
IDEA was clear with their expecations for implementation
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2
3
4
I'm satisfied with the level of communication and support received from IDEA
1
2
3
4
I am satisfied with this campaign and would recommend it to others
1
2
3
4
Enter your email if you'd like to be kept up to date on future campaigns and what IDEA is up to.
Do Not Fill This Out