Hills and Dales Community Survey

Please identify your top three health issues and submit this form to the Michigan Center for Rural Health.

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* 1. Top Three Rural Health Issues

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* 2. If you are willing to participate in the next round of the assessment, please provide the following information (print clearly). If NOT, please describe your occupation only.

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* 3. If you would like to receive a second survey via email, provide it here:

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* 4. If you have any questions related to this survey, please call Angie Emge at (517) 355-7757 or Email her at aemge@msu.edu.

Thank you for participating.


Mike Falatko,
President and CEO

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