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1. Have you heard of the Durham Diabetes Coalition? (Required.)

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2. Do you or a close family member live with type 2 diabetes? (Required.)

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3. Are you interested in participating in programs/activities in your community that promote healthy living? (Required.)

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4. What types of activities interest you? (Check all that apply) (Required.)

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5. Where would you like to attend health programs/activities? (check all that apply) (Required.)

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