The Kanabec County Safe Roads Coalition and Kanabec County Public Health are asking for your help. This survey will help us discover the current level of workplace traffic safety, substance abuse prevention and wellness activities in our community. It will also help shape future efforts.

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* 1. Approximately how many employees work at your organization?

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* 2. Name of business or organization

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* 3. Phone Number

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* 4. Email:

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* 5. Our organization has policies for: (Check all that apply)

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* 6. Our organization is interested in template policies and/or assistance in implementing policies for: (Check all that apply)

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* 7. Would you be interested in having a coalition member present to you employees on any of the following: (Safety Meeting, Brown Bag Lunch, Health Fair, etc.) (Check all that apply)

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* 8. Would you be interested in any of the following? (Check all that apply)

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* 9. Do you have any traffic safety questions or comments for the Kanabec County Safe Roads Coalition?

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* 10. Do you have any substance abuse or health and wellness questions or comments for Kanabec County Public Health?

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