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3. Thank you for participating in the VIEWER ADVISORY PANEL for the VETERANS’ VOICES television show.
   
   This short Survey covers the episode titled “Wired Tight: Caffeine Use in the Veteran Community” which first aired on Monday, JULY 17, 2017.
5. Email Address*
7. 1. How relevant was this show for you?
9. 2. What was the best part of the show?
11. 3. Which part of the show did you like the least?
13. Segment A
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    Panel discussion with host Nathan Johnson and guests: Sam Sotelo, Dr. Shauna Springer and Ryan Berg. (RATE FROM 1 TO 5)
15. Segment B
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    Video clips: Interviews with “Vet on the Street at Martinez VA”. (RATE FROM 1 TO 5)
17. Segment C
    -- Select One --12345

    Panel Discussion: “Life After Caffeine”. (RATE FROM 1 TO 5)
19. Segment D
    -- Select One --12345

    “A Veterans Voice” segment. (RATE FROM 1 TO 5)
21. Overall Show
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    Rate Overall Show - Your personal OVERALL RATING for the content of this particular show. (RATE FROM 1 TO 5)
23. Comments? (Optional)
    Add any comments you wish to make about the overall show or any particular segment.
25. 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, July 17th by clicking this link to get to the VETERANS’ VOICES website: http://www.contracosta.ca.gov/5163/Veterans-Voices
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27. 1. Receive an email copy of this form.
28. Email address

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29. Submit

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