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2024 Smile, California National Children's Dental Health Month Survey
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1.
Please provide your mailing address to receive your NCDHM resource samples toolkit:
(Required.)
Recipient Name:
Name of LOHP or Organization:
Mailing Address (no P.O. Boxes please):
City/Town:
State/Province:
ZIP/Postal Code
Country
E-mail Address:
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2.
Were you familiar with Smile, California before this webinar?
(Required.)
Yes
No
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3.
Are you interested in participating in the 2024 NCDHM promotion?
(Required.)
Yes
No
4.
What do you find is the most effective way to communicate with individuals in your community?
In-person
Social media
E-mail
Phone calls
Live webinars/virtual meetings
Mailings
Other (please specify)
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5.
Do you have any general feedback that you’d like to share?
(Required.)