How interested are you or your organization in conducting an Health Impact Assessment?

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* 1. How interested are you or your organization in conducting an Health Impact Assessment?

How do you plan on using Health Impact Assessment to support your work?

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* 2. How do you plan on using Health Impact Assessment to support your work?

How, at this point, would you fund an Health Impact Assessment?

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* 3. How, at this point, would you fund an Health Impact Assessment?

How interested are you or your organization in hiring HEP to support with Health Impact Assessment capacity building (training, technical assistance, etc) services?

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* 4. How interested are you or your organization in hiring HEP to support with Health Impact Assessment capacity building (training, technical assistance, etc) services?

Based on reading a description of our offerings, what type of Health Impact Assessment services would be MOST helpful? Please select no more than three.

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* 5. Based on reading a description of our offerings, what type of Health Impact Assessment services would be MOST helpful? Please select no more than three.

How, at this point, would you pay for Health Impact Assessment capacity building services?

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* 6. How, at this point, would you pay for Health Impact Assessment capacity building services?

What additional questions do you have for us at this time regarding our Health Impact Assessment services?

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* 7. What additional questions do you have for us at this time regarding our Health Impact Assessment services?

Who else might be interested in learning more about Health Impact Assessment capacity building services? Please list organizations or interested community members here.

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* 8. Who else might be interested in learning more about Health Impact Assessment capacity building services? Please list organizations or interested community members here.

Name and organization (optional)

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* 9. Name and organization (optional)

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