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Community Education Feedback Survey

Presentation or Material Feedback

Thank you for taking this survey. It will only take 5 minutes.

We want to get your feedback on the presentation or resources you received. We also want to understand what you learned and how you plan to use the information provided.

This is an anonymous form; your name will not be collected. The Research & Evaluation Group at PHMC will look at the data for the American Lung Association.
1. Did you receive a presentation or resource? [Please select one] *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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This question requires a valid date format of MM/DD/YYYY.
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