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* 1. Name? (Optional)

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* 2. Organization with which you're affiliated? (if applicable)

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* 3. What is your relationship to DLC?

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* 4. How did you learn about DLC?

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* 5. How familiar are you with DLC Nurse and Learn

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* 6. What is the first thing that comes to mind when you think about DLC Nurse and Learn?

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* 7. What would you describe as DLC Nurse and Learn's greatest strengths? (select one)

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* 8. What are areas in which DLC Nurse and Learn could improve?

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* 9. Please describe any additional services you would like DLC Nurse and Learn to offer.

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* 10. Which would you prefer?

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* 11. In what area of Jacksonville would a DLC Nurse and Learn be most convenient for you?

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* 12. Do you know of an area of Jacksonville that needs this type of inclusion program?  If so, please describe.

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* 13. What has been DLC Nurse and Learn's greatest impact?

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* 14. How would you rate the quality of DLC Nurse and Learn's child care program?

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* 15. What is the best way for you to receive information about DLC Nurse and Learn?

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