1. Information

33% of survey complete.

Thank you for participating in the 6-Week Challenge to Change! We look forward to hearing of your accomplishments. This survey serves as a tool to gather participation rates. Rates will be determined by the hours of participation in relation to the number of employees and volunteers at each center. Individual and centers will be recognized for their participation. Congratulations on the completion of the challenge!!!

* 1. Name:

* 2. County:

* 3. Center:

* 4. Email Address:

* 5. How did you hear about the 6-Week Challenge to Change?