Agent Orange Working Group - Member Feedback
The mailing list for the Agent Orange Working Group (AOWG) contains more than 300 names, but we are not sure who everyone is and what your group and individual interests may be.  In an effort to be more responsive as we share information and try to meet your other expectations, we're asking each member to fill out this simple questionnaire.  It will take about 1 minute, plus the time you  take to answer the last three questions.  Thanks.
Sign in to Google to save your progress. Learn more
Name *
Please provide your name
*
Please confirm or correct your email address
Item 1 *
How long have you been a member of the AOWG, or on the mailing list?
Required
Item 2
Are you mostly based in Vietnam, or outside of Vietnam?
Item 3
Do you read e-mail messages from AOWG members?
Item 4
Is the information useful, or interesting to you?
Item 5
Would you like to receive MORE information about:
Item 6
Would you like to receive LESS information about:
Item 7
Should the AOWG, based on consensus among members, try to influence government policies?
Item 8:  Who you are, and your interests
In a few words, please describe your personal / professional interest in Agent Orange / dioxin.
Item 9:  How the AOWG can be more effective
Also in a few words, please tell us how the AOWG can be more helpful, more relevant, to you and your interests.
Item 10:  Any other comment or question to add?
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.