Get ME Ready 2010 (MPHA)

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1. Where did you see information encouraging you to create a Get Ready Kit for your family (check all that apply)?

Where did you see information encouraging you to create a Get Ready Kit for your family (check all that apply)?   Agency on Aging Brochure Community Action Program (CAP) Agency DHHS Office Email Facebook Head Start Library Newsletter	Newspaper Pet Store Television You Tube Vetrinary Office Web Site or Message Board WIC Workplace I did not see any information
Other (please specify)

2. Have you visited the Maine Public Health Association Web site to find additional information on preparing a Get Ready Kit?

Have you visited the Maine Public Health Association Web site to find additional information on preparing a Get Ready Kit?   Yes No

3. Have you visited another Web site to find additional information on preparing a Get Ready Kit?

Have you visited another Web site to find additional information on preparing a Get Ready Kit?   Yes No

4. Before March 2010, had you already started your Get Ready Kit?

Before March 2010, had you already started your Get Ready Kit?   Yes, I had a complete kit Yes, I had a partial kit No

5. Do you now have a Get Ready Kit?

Do you now have a Get Ready Kit?   Yes, I have a complete kit Yes, I have a partial kit No

6. Would you like to be included in a drawing for a complete Get Ready Kit? You can keep it for your home or give it to a friend! If yes, please put your name and email or telephone number in the space below. ALL ENTERIES MUST BE RECEIVED BY MAY 31, 2010.

Would you like to be included in a drawing for a complete Get Ready Kit? You can keep it for your home or give it to a friend! If yes, please put your name and email or telephone number in the space below. ALL ENTERIES MUST BE RECEIVED BY MAY 31, 2010.   No, thank you.

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