Thank you for offering your feedback.

Information gathered from this survey will be used to develop programs and activities in your area. You may skip any question you do not wish to answer. If you would like us to keep you up to date on activities as they are offered, please provide your email address and any other contact information. 

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* 1. Your County

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* 2. What activities would you like to see in your area (check all that apply)?

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* 3. What do you see as the most important issues facing older LGBTQ people in your area?

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* 4. Please provide us with your contact information so we can update you on what's happening in your area. 

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