U.S. Department of Education: Promoting Educational Excellence for all Americans

U.S. Department of Education Customer Feedback Form

The U. S. Department of Education is committed to serving our customers. We value your opinion and request that you complete this short form to help us improve our publications and other written products. Please submit your response as soon as possible after receiving our publication. Thank you for your assistance.

This form is available in alternate formats; please contact the Department’s Alternate Format Center (202) 260-9895 or (202) 260-0818.

Please circle the number on the scale that reflects your review.


Questions marked with an asterisk (*) are required.

* 1. Name of Publication:

   

2. Please rate the publication you received by assessing the following:

  Unacceptable Poor Fair Average Good Very Good Outstanding Not Applicable
Usefulness
Timeliness
Clarity
Attractiveness
Availability (Was it easy to obtain?)

3. How did this publication affect you? Do you think you will be more involved with education or that your practice may change after reading this?

   
   
   
   
   
   
   

4.

5.

6. What do you think about the length of the feature article?

   
   
   




This form is anonymous; however, if you would like to be added to our listserv, please feel free to provide your name and email address below or you may sign on electronically at: http://www.ed.gov/parents/academic/help/partner-listserv.html

OMB Number: 1800-0011 Expiration Date: June 18, 2009. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 18000-0011. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of time estimate or suggestions for improving this form please write to: U.S. Department of Education, Washington, DC 20202-4651.