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1. I live in (name of town or city)

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2. I would participate in a health fair if it was held in or near my community (Required.)

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3. What would you like to see offered at the health fair?

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4. I would attend a class or series on the following subjects if they were held in or near my community. Please check all that apply (Required.)

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5. Do you have a primary care doctor? (Required.)

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