Skip to Main Content
Loading
Loading
Our County
Departments & Offices
Services
Doing Business
How Do I?
County Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Affirmative Action Office
Affirmative Action/Equal Employment Opportunity Office
Agriculture / Weights & Measures
Animal Services
Arts & Culture Commission
Assessor
Auditor - Controller
CCTV Forms
Child Support Services
Clerk of the Board
Contra Costa County Airports
Contra Costa County Cesar E. Chavez Youth Hall of Fame Awards
Contra Costa County Says NO MORE
County Administrator's Office
County Counsel
DA
Department of Conservation and Development
District Attorney
District II Supervisor Candace Andersen
District l Supervisor John M. Gioia
District lll Supervisor Diane Burgis
District lV Supervisor Karen Mitchoff
District V Supervisor Federal D. Glover
DoIT
Dr. Martin Luther King, Jr., Humanitarian of the Year Awards
Employee Benefits
Flood Control District
HR
Morgan Territory Road Closures
Office of Communications and Media
Office of Reentry and Justice
Probation
Public Defender
Public Works
Sheriff
Treasurer - Tax Collector
Veterans’ Voices
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
About Face Survey
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Thank you for participating in the Viewer Advisory Panel for the Veterans’ Voices television show. Please respond to each of the 5 elements of the show by replying to this Email and listing each element (A through E) and providing your RATING WITH A NUMBER (1 through 5 with 1=DID NOT LIKE and 5=LIKE VERY MUCH).
Email Address
*
Segment A
-- Select One --
1
2
3
4
5
Segment describing “About Face”-Art Therapy with Roger Renn, Exec. Director and Wesley, a Marine veteran who paints self portraits. (RATE FROM 1 TO 5)
Segment B
-- Select One --
1
2
3
4
5
Segment featuring a video interview from the studio ARTU4iA with former Disney artist John Kleber, who teaches veterans how to paint self portraits. (RATE FROM 1 TO 5)
Segment C
-- Select One --
1
2
3
4
5
Segment with a live interview with Denny Riley, a Vietnam Era US Air Force veteran who described his work interpreting U-2 photos of Russian missile sites. (RATE FROM 1 TO 5)
Segment D
-- Select One --
1
2
3
4
5
Segment where Denny Riley discusses his opinion of bombing raids in Laos, which the government officially denied at the time. (RATE FROM 1 to 5)
Overall Show
-- Select One --
1
2
3
4
5
Rate Overall Show - Your personal OVERALL RATING for the content of this particular show. (RATE FROM 1 TO 5)
COMMENTS: Add any comments you wish to make about the overall show or any particular segment.
If you missed this episode of VETERANS’ VOICES, you can watch it when it repeats on your local Cable TV station for the next 30 days (Mondays at 7:00 PM, Wednesdays at 11:00 PM and Saturday at 9:00 AM). You can also view this episode on your computer starting Friday, March 25 by clicking this link to get to the VETERANS’ VOICES website:
http://www.contracosta.ca.gov/5163/Veterans-Voices
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow