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* 1. Have you ever had an interaction with the Cumberland County Health Department? If you answer "No", please skip to question #9.

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* 2. Please check the boxes of the environmental health programs that you have worked with.

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* 3. Please check the boxes of the public health nursing programs that you have worked with.

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* 4. Please check the boxes of the health education or public health emergency preparedness programs that you have worked with.

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* 5. Please check the boxes of the special child health programs that you have worked with.

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* 6. Please check the boxes of the community outreach programs that you have worked with.

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* 7. Have you ever represented a business in dealing with the Health Department?

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* 8. On a scale of 1 to 3 with 3 being positive and 1 being negative, how would you rate your overall experience with the Cumberland County Health Department?

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* 9. Would you like to know more about the Cumberland County Health Department or any of the programs listed above?

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* 10. If you checked "yes" above, please fill out your information below so that we can contact you.

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