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PDC: Rural Needs Survey
Your name (optional, but what the heck):
Your email address (please do so we can add you to our rural data base):
What Region do you work in?
(Required.)
Region 1
Region 2
Region 3
Region 4
What county do you provide services in?
What rural issues would you identify which influence both you and your client when working together in a rural setting?
A.
B.
C.
D.
E.
If you have specific comments about the issues you listed, please do so here:
In a sharing mood?
Please share any thoughts you may have about our NCTASC Rural Project!