Form Approved
OMB No. 0920-XXXX
Exp. Date:
Public Reporting burden of this collection of information is estimated at 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NW, MS D-24, Atlanta, GA 30333; Attn: PRA (0920-XXXX).
Attachment RR:
Communications Campaign Tracking
Division of Violence Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
Site number:
Program Year:
Survey Date:
Survey Iteration:
Communications Campaign Tracking Form
Since core components of the communication campaign are yet to be determined, below are some preliminary suggestions on process measures that will likely be relevant.
Number of students that apply to be brand ambassadors
Number of students selected to be brand ambassadors
Number of brand ambassadors that complete training
Number of brand ambassadors that remain with program for full year
Number of Facebook friends/fans
Average number of Facebook comments posted online in response to brand ambassador messages
Number of activities hosted
Number of students participating in each activity
Number and type of gear distributed
Number of advertisements placed
Cost
What is the total value of stipends or participation incentives distributed to Brand Ambassadors for their participation as a Brand Ambassador over the past 12 months?
How much time (excluding travel time) did you spend on Brand Ambassador or other Dating Matters communications activities over the past 3 months?
How much travel time and mileage did you spend on Brand Ambassador or other Dating Matters communications activities over the past 3 months?
What is your annual salary?
$0 to $9,999
$10,000 to $19,999
$20,000 to $29,999
$30,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to $69,999
$70,000 to $79,999
$80,000 to $89,999
$90,000 to $99,999
$100,000 or above
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Wendy LiKamWa |
File Modified | 0000-00-00 |
File Created | 2021-01-31 |