PHIG Feedback Survey

Welcome to the Public Health Infrastructure Grant (PHIG) Feedback Survey!

Do you have a suggestion for how we can better communicate updates to local and Tribal public health partners? Do you wish you had access to more information on a specific topic when it comes to the PHI Grant? Do you have a question about the PHIG, how the grant is being managed, etc.? We'd love to hear from you.

Please use the text box below to submit your response to the PHIG management team.
Do not include personally-identifiable (PII) or protected health information (PHI) in your response.

1. Describe your feedback, explain your concern, ask your question, or all of the above.

2. Do you wish to be contacted by the PHIG management team regarding your response to the question above?

3. OPTIONAL

Please use the text boxes below to share your contact information so the PHIG management team can get in touch regarding your response above. Our goal is to put someone in touch with you within 2 business days.

What is your name?

First Name
Last Name

How would you prefer to be contacted? Select one or both. *This question is required.

Email (enter your address) Please enter an 'other' value for this selection.
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