Community Health Assessment Conversation Sign-Up

Thank you for your interest in participating in the Community Health Assessment(CHA) Conversation Meetings. Please answer the questions below to help us provide an enjoyable and accommodating experience.

Question Title

* 1. Which meeting do you plan on attending?

September 13, Milford CAST, 8:30-10am

Septmber 19, 2023, Wilton Town Hall, 6:30-8pm

October 5, 2023, Merrimack Library: Klump Room, 6-7:30pm

Question Title

* 2. Do you require interpreter services to attend?

Yes, I require a Spanish speaking interpreter .

Yes, I require a Swahili speaking interpreter.

Yes, I require a Portuguese speaking interpreter.

Yes, I require a French speaking interpreter.

Yes, I require an ASL interpreter.

No, I do not need interpreter services.

Community Health Assessment Conversation Sign-Up

Question Title

* 1. Which meeting do you plan on attending?

Question Title

* 2. Do you require interpreter services to attend?

Question Title

* 3. Do you have any food sensitivities/allergies? If you do, please specify.

Question Title

* 4. What is your email? We will only use your email to remind you of an upcoming meeting and if there is a cancellation.