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CANHI Health Care Survey

Using the results from this 3 minute survey and other locally collected data, we hope to increase the availability, acceptability, and use of COVID-19 public health information and services and increase health literacy in racial and ethnic minority populations.
1.First Name
2.Last Name
3.What is your mobile phone number?
Informed Consent: By giving your mobile number, you agree to get text messages about health literacy programs from the Central Alabama Neighborhood Health Initiative and our partners. We will only use the information in this form to report grant data. We will not share personal information with a third party for any other reason. This project is subject to the federal rules and regulations governed by the U.S. Department of Health & Human Services - Office of Minority Health. 
4.Do you wish to receive text messages about health literacy programs?
5.In what county do you live?
6.Are there any children living in the home under 18 years of age?