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.
Veterans Service Organizations
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 “Veteran Service Organizations”- with J.R. Wilson of DAV and Terry Murphy of VFW. (RATE FROM 1 TO 5)
Segment B
-- Select One --
1
2
3
4
5
Segment featuring a video of actor Gary Sinise welcoming veterans in Soaring Valor at a tour of the World War II Museum in New Orleans. (RATE FROM 1 TO 5)
Segment C
-- Select One --
1
2
3
4
5
Segment with an interview of local veteran Mr. Kelly Strong who read a poem about trying to sew up the wound on a young woman’s face. (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)
Preferred Live Broadcast Days and Times
-- Select One --
Tuesday at 8:00 PM
Wednesday at 9:00 PM
Thursday at 6:00 PM
Sunday at 5:00 PM
(Current Timing) Monday at 7:00 PM
Other day or time
Veterans’ Voices is considering moving the LIVE show to a different day or time. Which of the above choices would you prefer?
Please let us know what day and time you would prefer to see the live broadcast.
*
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 Wednesday, May 18th 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