Floridan Newsletter Survey 2012

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1. Name
2. Mailing Address (Where you receive The Floridan)
5. Phone Number
6. Please Rate The Floridan on the Following
6. Please Rate The Floridan on the FollowingStrongly AgreeAgreeNeutralDisagreeStrongly Disagree
I Enjoy Receiving And Reading The Floridan
The Floridan Helps Our System Maintain Compliance
The Floridan Provides Valuable Information
The Format Is Pleasing And Easy To Read
My Overall Satisfaction With The Floridan Is High
I Would Recommend a Subscription To My Friends
7. Subscription Options (Please answer the following.)
7. Subscription Options (Please answer the following.)YesNo
I Have Access To The Internet and Can Download The Floridan
I Want To Cancel My Hard Copy Delivery and Receive My Copy Electronically
I Want To Continue To Receive a Hard Copy Via US Postal
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