ASPR Getting Started

Thank you for choosing to be part of the Health Equity Task Force. We would like to know a few things about you as we get started on this project. Please take a few minutes to help get to know the Task Force members.

1. Who was missing from the 1st Task Force meeting? *This question is required.

2. What do you think is currently working and we should build on? *This question is required.

3. What is an area of concern that you currently have? *This question is required.

4. What do you think the Task Force outcomes should be? *This question is required.

5. What are the resources/materials that you have or know about that would benefit the Task Force? *This question is required.

6. Please tell us a little about who you are and what you do for Spokane? *This question is required.

7. Are you ok sharing your contact information with other Task Force members? *This question is required.

We will be building a list of all Task Force members to provide on the website for everyone and would really like to add your name, but understand if you are not comfortable sharing your information. You can always add it in the future if you like.

8. Do you have Google Form access? *This question is required.

9. Contact Information:

First Name

Last Name

Title

Company Name

Zip

Email Address

Phone Number

Website