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SOUTH JERSEY TRAFFIC SAFETY ALLIANCE
SAFETY NEEDS ASSESSMENT SURVEY
JANUARY 2003
Name ________________________________
Title ___________________________________
Organization _______________________________________________
Jurisdiction _________________________________________________
PART I HOW IS THE ALLIANCE DOING
1) What are your thoughts on how the Alliance is run?
2) Is the Alliance addressing the issues and meeting your needs?
3) Does the Alliance have enough input from its members?
4) Comment on the quarterly meetings. How are they run and how are the presentations? How can we improve them?
5) What is it you expect from the Alliance and how can the Alliance better serve you?
PART II ALLIANCE PROGRAMS
6) Comments on the BICYCLE SAFETY BOWL.
Do you like it? Is it easy to implement? What changes would you like to see made to the program? Should the Alliance continue with the program?
7) Comments on the SAVED BY THE SEAT BELT CLUB.
Do you like it? Is it easy to implement? What changes would you like to see made to the program? Should the Alliance continue with the program?
8) Comments on the BUCKLE UP STENCIL PROGRAM.
Do you like it? Is it easy to implement? What changes would you like to see made to the program? Should the Alliance continue with the program?
9) Comments on VIDEO LIBRARY.
Do you like it? Is it easy to implement? What changes would you like to see made to the program? Should the Alliance continue with the program?
10) Comment on the CHILD PASSENGER SEAT INSPECTION CAMPAIGN.
Do you like it? Is it easy to implement? What changes would you like to see made to the program? Should the Alliance continue with the program?
PART III - TRAFFIC SAFETY ISSUES
11) What traffic safety issues should the Alliance focus on for 2003 and 2004?
FAX TO: 856-794-2549
MAIL TO: 1173 E. Landis Ave, Vineland, NJ 08360. Comments or questions, contact Teresa Thomas, Program Coordinator, 856-794-1941.
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SJTSA
