Facility Survey

 
7% of survey complete.
The ACR Foundation is seeking to gain greater information about your facility to better determine its needs and volunteer opportunities. We are also providing a Materials Request Form for you to fill out at the end to consider providing educational materials to your facility depending on availability and priority. We hope you will take the time to fill out the survey. The survey will be reviewed by the ACR Foundation International Outreach Committee upon its completion and the ACR will keep your information on file for future reference.





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* 1. Facility Name:

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* 2. What is the approximate population served by this institution? (Enter numerical characters only)

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* 3. Please note the type of institution:

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* 4. What is your relationship to this facility?






The information collected in this survey will be used for internal purposes only.

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