March of Dimes
Rules for the Road
 
Evaluation Form

We would like to know what you think about “Rules for the Road: A Handbook for Consumers in Leadership Positions.” Please take a minute to answer the following questions and return this form to the address below. Please let us hear from you!

Print out this screen, complete the form and mail it to: Parents Place, 801 Cromwell Park Drive, Suite 103, Glen Burnie, MD 21061.

1. The 12 Fundamentals for Practice presented in this publication will help me in my work.

Not at all   Somewhat   A great deal
 1  2  3  4  5


2. The Fundamentals for Practice are presented in a way that is

Boring   Okay   Very interesting
 1  2  3  4  5

 

3. The Tips for Good Practice are

Not useful   Somewhat useful   Very useful
 1  2  3  4  5

 

4. The Scenarios for Discussion are

Not useful   Somewhat useful   Very useful
 1  2  3  4  5

 

5. Please tell us how you plan to use the handbook.

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6. What changes or additions would you suggest?

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  © 2008 March of Dimes Foundation. All rights reserved. The March of Dimes is a not-for-profit organization recognized as tax-exempt under Internal Revenue Code section 501(c)(3). Our mission is to improve the health of babies by preventing birth defects, premature birth, and infant mortality.