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TMA Hard Hats for Little Heads Event Survey

Event date:  

Did you give helmets at a: 

Other (please specify): 

 

If you partnered with another group, please select the type of co-sponsor (check all that apply)

Other (please specify):

 

How many helmets did you give away?

 

How many helmets went to children of low-income families (approximate percentage)?

 

How many hours were spent planning and executing your event? (include all volunteer time, but not paid staff time)

 

If a physician participated in your event, please indicate the type of involvement (check all that apply):

Other (please specify):

 

Please provide quotes from helmet recipients for TMA to share with program funders.  

 

What suggestions/comments do you have for the Hard Hats for Little Heads program?  

 

Name:   

Organization/Title:   

Phone number:   

 

By completing a survey, you give TMA and TMA Foundation permission to use your feedback.  

    

        

 

 

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