Rural Health Network of SCNY is developing a project to provide information to community members about how to prepare for and respond to extreme weather events. As we finalize our training materials and informational packets, we would love input from people who live in our communities. We'll be holding 90-minute focus groups.

Refreshments will be served, and your choice of $10 gas or grocery gift card will be awarded for your attendance. If you might be interested in participating, please complete the form below

Question Title

* 1. Would you like to be contacted for a focus group discussion?

Question Title

* 2. What is your name?

Question Title

* 3. In what town or city do you reside?

Question Title

* 5. What is your phone number?

Question Title

* 6. What is your preferred mode of contact?

Question Title

* 7. We have two dates and times the Ready for Weather team is prepared to host the focus groups. Both available dates and times will be hosted at Rural Health Network:

455 Court St, Binghamton NY, 13904

Please choose the option that works best for you.

T