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Texas Council for Developmental Disabilities

The Next Step
Feedback Form

 

Please complete and return this form after you have had a chance to view the video, "The Next Step," so we can track how it is being used, people's reactions and what works well.

1. Please describe how you are using the video. If you showed it to others, include how many people watched it, who they are (e.g., parents, teachers, advocacy groups, middle school students, high school students, PTA members, etc.) and how often you show it. If you are not using it, please explain why.

 

2. Do you have any other plans to use the video?

 

3. How do viewers respond to the video?

 

4. Do you use other resources/materials/presentations/discussions with the video? If so, what?

 

5. Please add any other comments you have regarding the video.

 

 

Optional: Your Name _______________________________________________

Organization _____________________________________________________

Address _________________________________________________________

Please fax the completed form to (512) 437-5434 or mail to:

Texas Council for Developmental Disabilities,
Attn: Lucy Walker
6201 E Oltorf, Ste 600
Austin, TX 78741-7509

or e-mail to: lucy.walker@tcdd.state.tx.us

 

 

 

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