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Feedback Form -- Take Four Windows Of Time

PLEASE TELL US HOW YOU TOOK BACK YOUR TIME

After you take your Four Windows of Time, we’d love to hear about your experiences. What did you and your family and friends do? What did you learn from the experience? Will you try to continue this in the months to come?

Please tell us about your experiences. We will compile participants' stories, and create a "National Take Back Your Time Scorecard" of the stories and total hours that people all across America took back through this project. The results will be publicized to the media and our nation’s leaders, to show how deeply Americans want more time. So after taking back your time, please tell us:

Please Note: You can fill out the form below and send your feedback via the internet, or you can click here for a PDF form you can print and mail in.

Here's how we took back our time:

This is what we learned from the experience:

Approximate number of hours we took back:

Other comments:

First Name:
(or initial)
Last Name:
(or initial)
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
E-Mail:

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