Part 1 (of 3): Affiliate General Information

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* 1. Please list the Primary CDAPP Sweet Success Affiliate site name that you are completing this Annual Affiliate Survey for.

  Affiliate Name
Primary CDAPP Sweet Success Affiliate Name:

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* 2. Have you been a CDAPP Sweet Success Affiliate in the past?

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* 3. Are you completing the survey for more than one (1) site?

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* 4. Affiliate Medical Director Name:

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* 5. My CDAPP Sweet Success site most identifies as being a part of a:

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* 6. Affiliate Address:

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* 7. Please view your Affiliate Site(s) on our Affiliate Locator Online and tell us if you would like anything altered or added (i.e. phone number, website added, address change). Answer only the fields that apply.

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