Thank you for taking the time to complete this feedback form.

Improving the lives of children in our Community takes time and effort, but we can make a positive difference with your feedback and support. 

* 1. I learned new information from this program.

* 2. I plan to watch the rest of The Raising of America series.

* 3. I will discuss this information with others in my community.

* 4. The issues raised in this program are important for our community.

* 5. I will recommend this program and series to others.

* 6. Is there a specific reason why you chose to watch this program?

* 7. What action should our community take to improve the well-being of children?

* 8. How can you help our community improve the well-being of children?

* 9. Are you interested in:   (check all that apply)

* 10. If you answered yes to any of these options and would like a Beacon Health staff member help you get connected, please write your name and email or phone number here so we can contact you.

Another terrific resource for getting connected is the Raising of America link on WNIT's website:
http://www.wnit.org/raisingofamerica/

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