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Resilience Index Trainer Reporting Form

1. Resilience Index Trainer Reporting Form

4% of survey complete.

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* 1. Trainer Name

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* 2. Trainer Affiliation

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* 3. Date of Meeting

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* 4. Location of Meeting (City, State)

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* 5. Community Name

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* 6. Number of Attendees

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* 7. If the community identified any next steps, detail below.