Coalition for Better Television Monitoring Form

Historical third-party television advocacy form, April 1981. Preserved as an archival document; this page does not collect responses or endorse the campaign.

Name of Viewer __________

Address __________ City __________ State ____ Zip ____

Program Monitored __________ Network __________

Date __________ Time Began __________ Note to Viewer: Please monitor the program and complete this sheet when program is completed. Use a different sheet for each new program. Monitor any program during prime-time during the months of March, April and May, 1981. Prime time is 8-11 P.M. in the Eastern and Pacific time zones, 7-10 P.M. Central and Mountain. Prime time begins an hour earlier on Sunday.

After completing this form, return it to Coalition for Better Television, 499 South Capitol No. 101, Washington, DC 20003. Note To Sponsoring Group: Reproduce this sheet and pass out in bulk as needed to members of your group. Disseminate as widely as possible and encourage as many in your group as possible to participate as often as possible. Place the form in your newsletter, local paper etc .

1. Was this a program which would be enjoyed by the entire family? ( ) Yes ( ) No

2. Would the program help build good character in youth and children? ( ) Yes ( ) No

3. Would viewing the program help promote a better family life? ( ) Yes ( ) No

4. Would viewing the program help an individual contribute toward a better society? ( ) Yes ( ) No

5. Did the program contain sexual content, violence or profanity? ( ) Yes ( :No

6. Would you like to see more programs like this on television? ( ) Yes ( ) No

7. Would you like to see fewer programs like this on television? ( ) Yes ( ) No

8. Would you be willing to purchase products from advertisers for helping sponsor this program? ( ) Yes ( No

9. Would you be willing to boycott products of advertisers for helping sponsor this program? ( ) Yes ( ) No

10. Was this a program which would help make the quality of life in our society better? ( ) Yes ( ) No VERY IMPORTANT: After viewing the entire program please give us a rating on the program.

On a scale from 0 to 100, with 10 being tops. rate the program for its constructive contribution to society. Rating

Originally published in The Paper, April 1981.

Read this article in the original newspaper issue.

Archival transcription note: The rating instructions print a scale of 0 to 100 with 10 being tops. The original contradiction is retained.

Original source: SD_Times1981_04.pdf, printed page(s) 7; PDF page(s) 7.