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* 1. What is your age group?

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* 2. Gender and Marital Status

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* 3. What is your best day to attend programs?

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* 4. What is the best time of day for you to attend programs?

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* 5. Interested in Physical Health

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* 6. Interested in Emotional Health

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* 7. Interested in Family Health

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* 8. Other Topics

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* 9. Are there any other topics you would be interested in?

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* 10. Would you be interested in serving as a member of the Health Ministry
Team? If yes, type your name with contact information in the box below... You are not required to have a medical background in order to serve.

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