Healthy Living Matters Engagement Suvey

SECTION I – MEMBERS

Thank you for participating in the Healthy Living Matters (HLM) Engagement Survey! These brief 12 questions will help assess the current interests and levels of engagement within the collaborative. Please tell us more about yourself and the organization you may represent:

Question Title

* 1. Membership Profile

Name

Organization

Type (N/A) if you do not represent an organization

Address

City

State

Zip

Phone

Question Title

* 2. Which sector best describes your work or expertise?

Government

Health Care

Non-profit

Education K-12

Early Childcare

Breastfeeding

Nutrition

Research

Public Health and Safety

Other (please specify)

Question Title

* 3. How did you learn about HLM?

Newsletter

An organization

Friend or family member

News story

Internet search or link

Social media

School

Other (please specify)