This form surveys your opinion about future lessons and inquires if you would be interested in evaluating future products. Type your name and e-mail address in the boxes below. Then, respond to the questions and type in any comments. When you are finished, click the Submit button at the bottom of the page to e-mail your information to the lesson developers. Thank you for supplying this information.
Name
Return E-mail address
(1) Indicate, by clicking the circles next to yes or no, whether or not you would like the developers to design additional training materials similar to these construction lessons.
Yes
No
(2) Indicate whether or not you would be interested in helping the Kentucky Injury Prevention and Research Center (KIPRC) evaluate similar lessons to be developed in the future.
Yes
No
Below, if you answered Yes to item (1), indicate lessons you would like KIPRC to develop. Click the cursor in the box and type your information. Be as specific as possible.
When you are finished, click the Submit button to
send your opinions to the developers. Thank you!
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