My Black Dog Film - Feedback Form
Thank you for attending our screening of My Black Dog, we would appreciate your feedback on the event. 
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Name:  *
Email Address:  *
Do you have any feedback or comments on the film?  *
Do we have your permission to use the above testimonial in promotional materials? *
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Do you have any feedback to share on your screening event - in relation to context, environment, wellbeing and care? 
How did you hear about this My Black Dog screening? *
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Would you like to join our E-News mailing list?  *
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Do you have a connection to a regional place, a community or an organisation you think would appreciate this film?  *
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