SADD 21 or Bust Online Evaluation Form

Online Evaluation Form

Please complete the following evaluation and hit "submit" to receive your OFFICIAL CAMPAIGN PARTICIPANT CERTIFICATE!

*Please provide your name and address ( required fields):**
*First Name
*Last Name
*Title
*Email
*School/Group
*Street Address
Address (cont'd)
*City		*State
*Zip Code		Fax
*Telephone


Number of SADD Members who worked on this campaign?
Number of parents involved?
Number of teachers involved?

Did students approach local media?	Yes No
If yes, what kind of coverage was received? (Check all that apply.)
Local newspaper	Local TV station
Local radio station	Magazine
Public Service Announcements	Editorials
Feature Article / Story	Ad space
Other (please specify)
Please enter links to any online coverage here (copy and paste into the text box below):

Please fill in the blanks below and indicate which of the following activities your chapter participated in during your SADD and the Law: 21 or Bust campaign.
We Contacted [Enter #:]	Area LBOs
Of Those Contacted [Enter #:]	Signed Pledges
Contacted Local Law Enforcement?	Yes No
Distributed Posters & Static Clings?	Yes No
Worked with Others in the Community?	Yes No
Contacted Media Outlets?	Yes No
Other (please specify)

How useful were the following items?
Campaign Manual (in the folder)	Not at all Somewhat helpful Extremely helpful
Letter Templates	Not at all Somewhat helpful Extremely helpful
Media Templates	Not at all Somewhat helpful Extremely helpful
Pencils	Not at all Somewhat helpful Extremely helpful
Pledge Sheets	Not at all Somewhat helpful Extremely helpful
Static Clings	Not at all Somewhat helpful Extremely helpful
Posters	Not at all Somewhat helpful Extremely helpful

Did you use the following SADD Promotional Materials?
Static Clings	Yes No Quantity Used
Posters	Yes No Quantity Used
Official Campaign Pledge	Yes No Quantity Used

What was the most useful part of this campaign kit? Why?

What was the least useful part of this campaign kit? Why?

What other resources would have been helpful to you?

What suggestions do you have for improving the campaign kit for future use?

Is there anything you would like to add?