100% of survey complete.

* 1. What is your first and last name?

* 2. How did you hear about the Northern Virginia Healthy Kids Coalition?

* 3. What is your e-mail address?

* 4. What is your organization?

* 5. What is the name of your organization? Please include website address if applicable.

* 6. What is your job title?

* 7. Where is your organization located? What is your organization's mailing address please?

* 8. Which of the following would you like to do to help advance the health of our youth through daily habits for healthy living?

* 9. We welcome your feedback on how to improve the Coalition's campaign for making a difference in every child's life and our website. Please share your thoughts here:

Thank you for joining the cause! Keep an eye on your e-mail for the Northern Virginia Healthy Kids Coalition's e-Bulletin. Our e-mail is: healthykidscoalition@inova.org

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