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Success Stories: What Are You Doing To Promote Healthy Eating and More Activity?

Your Group


Which of the following best describes your group?

(Select all that apply.)

Education

Pre-K

Faith

Local Government

Health/Medical

Community Based Youth Organization

After School or Summer Program

Civic Group

Youth Sports

Recreation group

State Government

Higher Education

Business

Association

Other:


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Share Your Story!


Describe what you are doing, what kind of impact its having and tips you have for others who might want to adapt what you are doing to their situation.


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If someone wants to know more, how can they contact you? (*required)

First Name*

Last Name*

Title*

Address

City*

State

Zip

Phone

Email*

Organization*


Created with SurveyGold survey software - www.surveygold.com