Tell Us What You Think...and be entered into a drawing for a Staples Gift Card worth up to $100!
Back 2 School Illinois 2018 Research Study - Student

Enter here. Your child must have received a Back 2 School Illinois school supplies kit to be eligible.

IF YOU ARE IN GRADES 3RD - 8TH - Please have your parent/legal guardian enter the Sweepstakes for you by filling out the reverse side of this form (we cannot accept submissions from minors!)

IF YOU ARE IN GRADES 9TH - 12TH - Please complete the following survey.
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Email *
Name (First & Last) *
Mailing Address (including City, State & Zip Code) *
Phone Number *
1. Do you like your new school supplies? *
Strongly Agree
Strongly Disagree
2. Do you think your new school supplies will help you do better in school? *
Strongly Agree
Strongly Disagree
3. Did you worry in the past that you would have to go back to school without school supplies because your parents couldn't afford to buy them?
Strongly Agree
Strongly Disagree
Clear selection
4. OPTIONAL QUESTION - Tell us what it means to you in 500 words or less to be getting a free Back 2 School kit filled with school supplies. (You may answer this question on a separate piece of paper).
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