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3. 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).
   
   This short Survey covers the episode titled “Substance Abuse: Know Thy Enemy” which first aired on Monday, October 17, 2016.
5. Email Address*
7. Segment A
   -- Select One --12345

   Segment describing “Marine Vet’s struggle with Alcohol Addiction -Ed Dieden, Wife Kathy, Dr. Springer, Dr. Neavins”. (RATE FROM 1 TO 5)
9. Segment B
   -- Select One --12345

   Segment featuring “Video from Marines -Deaths from Alcohol”-“Protect What You’ve Earned”. (RATE FROM 1 TO 5)
11. Segment C
    -- Select One --12345

    Segment featuring videos “Iraq Vet who drank to blackout - and - Angie's Addiction Story of Army Vet in Korea-both received help from VA”. (RATE FROM 1 TO 5)
13. Segment D
    -- Select One --12345

    Segment featuring “A Veterans’ Voice with US Coast Guard Vet-Jenn Manor-Difficult transition to civilian life, but now attending Culinary School”. (RATE FROM 1 TO 5)
15. Overall Show
    -- Select One --12345

    Rate Overall Show - Your personal OVERALL RATING for the content of this particular show. (RATE FROM 1 TO 5)
17. Any additional comments about this months' episode? (Optional)
19. 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 Wednesday, October 19th by clicking this link to get to the VETERANS’ VOICES website: http://www.contracosta.ca.gov/5163/Veterans-Voices
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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit

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