Department of Pediatrics Division of Community Health and Research
This information is optional. Rest assured we will NOT send out commercial emails (e.g., spam) or sell/trade/rent/give your personal information or email address or your company's information or email address to third-member parties.
1. Generally, to whom will you show the video (e.g., are you just downloading for yourself, or do you plan to show it to others such as parents, professionals, etc.)?
2. Do you think you will show the video to others? Yes No
3. How often do you think you will show the video, and roughly how many people do you expect to reach in this manner (please give your best estimates for monthly or yearly planned use)?
4. If you are planning to show the video to others, can you describe the population (e.g., nurses, low-income families, etc.)?
Comments:
Name:
E-mail Address:
Organization:
City/State: