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Help shape our health education

Your perspectives and insights into health topics that interest you most will guide us towards providing the appropriate programming for the Charlotte County area. Thank you for taking the time to fill out this survey.

1.  

Which age category best represents you?

* required
2.  

How do you prefer to learn?
Check all that apply.

3.  

Do you have reliable internet access?

* required
4.  

What are your top three topics you would like to learn more about when it comes to mental health, medical health, and general well being?

Please select up to three topics from the list below, and you may also suggest additional topics at the end.

* required