Safe in the Village Workshop Feedback

Please share with us some details about the workshop held.

50% of survey complete.

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* 1. Contact Information

Facilitator Name

Tribal affiliation

Organization affiliation

Address

Community

State/Province

ZIP/Postal Code

Email Address

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* 2. Number of attendees?

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* 3. What was the range of ages?

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* 4. Number of girls?

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* 5. Number of boys?

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* 6. What is co-ed?

Yes

No

Other (please specify)