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Disability Awareness Month 2019 Coordinator Evaluation

Coordinator Information

Thank you for taking the time to help us evaluate the effectiveness and quality of our Disability Awareness Month program. The Governor’s Council for People with Disabilities uses your opinions to improve future campaigns. Please return this completed form by April 19, 2019. You can scan and email it as an attachment to awareness@gcpd.in.gov or mail it to Indiana Governor’s Council, Indiana Govt. Center South, Rm. E145, 402 W. Washington St., Indianapolis, IN 46204. Or, if you prefer to submit the form online, visit IndianaDisabilityAwareness.org/coordinatoreval. Questions can be directed to the Council at (317)232-7770.
1. Please provide your contact information. 
Is this a school?
2. Would you like to receive Council news and information by email?
3. You are a/n (please check all that apply)
4. Did you receive a kit? 

If you did not, please submit a new order on indianadisabilityawareness.org.
6. How did you learn about Disability Awareness Month
7. How would you rate your overall satisfaction with the Disability Awareness Month campaign this year?
Very satisfiedSatisfiedNot satisfied
8. How would you rate your overall satisfaction with the materials ordering system, including packaging and delivery of items?
Very satisfiedSatisfiedNot satisfied
9. Did you experience any issue with your order packaging?
10. How would you evaluate this year's campaign according to the following criteria?
11. Did you see the #BeCoolWeAre campaign video?
If so, did you share the #BeCoolWeAre campaign video?
12. Did you order extra materials?