Appendix M
NEW MEDIA INQUIRY FORMAT (SAMPLE)
This format is intended as an example only and should be adapted to local needs and SOPs. In addition to query forms, PAOs should maintain a separate log of all inquiries.
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MEDIA QUERY SHEET |
Query Number:____________ |
Deadline:_________________ |
CALLER'S NAME:_______________________________________________________ |
CALLER'S NEWS ORGANIZATION:__________________________________________ |
CALL TAKEN BY:_________________TIME:_________________DATE:_________________ |
QUESTION (use reporter's precise wording):___________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________ |
RESPONSE (if written release is made, attach a copy):___________________________ ___________________________________________________________________________ ___________________________________________________________________________ _______________________________________ |
SOURCE OF INFORMATION/COORDINATION (e.g., G-3, surgeon):___________________ ___________________________________________________________________________ |
RELEASED TO:___________________________________________________________ |
TIME/DATE:______________________________________________________________ |
RELEASE METHOD: In Person________ Phone_____________ News Release_______ |
RELEASED BY:________________ RELEASE NUMBER:___________________ |
NEWSLETTER
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