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  We want to hear from you!
In our continued dedication to improve, we want your feedback, opinions, ideas, news and comments. Please send us your feedback today!
 

Dear Diligent Readers:

Your opinion is very important to us. We want to know what you think about the our magazine and how helpful it is to you. Please send us your duly filled feedback form, for us to serve you better:

Please tick/circle appropriate:

Was this Magazine easy to read and understand to each and every member of your family?

Please Rate out of 10: 1 2 3 4 5 6 7 8 9 10
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Was magazine content well organized and easy to use?
Please Rate out of 10: 1 2 3 4 5 6 7 8 9 10
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Did you find any article/information in magazine surprising/unbelievable? Yes No No- Comments
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Did the Magazine help raise awareness of family concerns/issues that may impact your family?
Please Rate out of 10: 1 2 3 4 5 6 7 8 9 10
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Are there any areas that you think should be included but that are not currently listed in our magazine?
Please Suggest

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Did you like the sketches/graphics and Magazine’s overall designing?
Please Rate out of 10: 1 2 3 4 5 6 7 8 9 10
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Did anyone in family used the Democratic Vote?
Yes No

Did you show/order and distribute this magazine to your relatives and friends? Yes No
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Have you visited our family portal/ online magazine?
Yes No
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Did you find website useful and well organized?
Please Rate out of 10: 1 2 3 4 5 6 7 8 9 10
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Was the information on the web site easy to find and use, easy to read / easy to download, and to send email? Please Rate out of 10: 1 2 3 4 5 6 7 8 9 10
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Any suggestions about how to improve magazine?
Yes No Comments

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As a result of this family magazine, have you taken any action/ activity in your family that has helped to create safer, healthier environment and improved relationships ?

Yes No Comments

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Would you recommend this magazine to others?
Yes No Comments

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Was this magazine widely shared with everyone in family? Yes No Comments

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Where do you live? City/State/Locality

__________________________________________

Please check any of the following that describes you:
Employer Government-Employee
Private- Employee House Wife Unemployed
Other
_____________________________________________

I work in the following sector (Please tick appropriate)
Service sector Education Health Non-profit
Government Small Business
Manufacturing/Industry

Other_______________________________________


I learned about the Magazine from?

Media Pamphlets Email announcement Poster or bookmark Word of mouth Internet link Other

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Would you like to give us some references?

(1)Name:____________________________________

Phone:____________________________________

(2)Name:____________________________________

Phone:____________________________________

(3) Name:____________________________________

Phone:____________________________________

When completed, please return this form to:

Mail to: Magazine Design Committee
c/o M/s Reviving Humanity Private Limited
P.O. Box 2877, Rajinder Nagar,
New Delhi 110060.


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