Carolina Women's Center Focus Group Sign-Up

Thank you for your interest in participating in a Carolina Women's Center focus group to discuss staff needs and barriers to services. Please complete this short survey to RSVP for a focus group. When you complete this survey, the focus group coordinator will contact you to confirm your RSVP and provide more information about the focus group. If you have any questions, please contact Megan Dale at medale@live.unc.edu or at 919-962-8305.

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* 1. Name:

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* 2. What is your email address?

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* 3. What is your work phone number?

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* 4. Please indicate which focus group you would like to attend. (If more than one date and location would work for you, please select multiple answers and the focus group coordinator will contact you.)

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