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State Summaries Evaluation Form

SIECUS plans to frequently update this document by publishing subsequent editions and we need your help. Please take a few moments to complete this evaluation form so that future editions can better meet your needs and expectations.

If you prefer, you can print out the form here and mail it to us at the address below.

Name (required)

Organization Name

E-Mail

Contact Information

Do you feel that the information included in SIECUS State Summaries will assist with your own organization's efforts? If the answer is yes, how?

What did you find most valuable about SIECUS State Summaries?

What are your suggestions for improving future editions of SIECUS State Summaries?

What are your suggestions for future topics to be included in SIECUS State Summaries?

Do you have any further comments about SIECUS State Summaries?

Do you have any comments or suggestions for the SIECUS State Summaries posting on the website? (http://www.siecus.org)

Thank you for sharing your thoughts and insights.

SIECUS Public Policy Office
1706 R Street, NW
Washington, DC 20009
Fax: 202-462-2340
siecus@siecus.org

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