Thank you for joining the Roanoke Area Youth Substance Abuse Coalition (RAYSAC)! Please fill out this short survey so we can get to know you better and learn more about your interests.

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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. What is the name of your organization?

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* 5. Which of the 12 Community Sectors do you represent? (Select all that apply.)

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* 6. Which of RAYSAC's key activities would you like to participate in? (Select all that apply.)

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* 7. Are you interested in serving as a leader on RAYSAC's Executive Board?

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* 8. How did you first hear about RAYSAC?

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