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Fill out the questions below, if you want to participate in our focus groups! (for kids)*

Hey there! We are working with our friend, C-PATH, to share youth voices on an interview guide for kids with asthma. Focus groups will take place on Sept. 7th.

*None of your personal informational will be shared with C-Path.

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* 1. What is your email address? 

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* 2. What is your name?

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* 3. What is your age?

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* 4. Which iCAN chapter or program are you a part of? (You don't have to be in one to participate)

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* 5. Do you have asthma (you do not need to have asthma to participate in this focus group)?

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* 6. Which focus group(s) would you like to participate in? (You can do both!)

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