Introduction

The Kanawha-Charleston Health Department is sponsoring this survey. Your responses are confidential. You are not required to answer any question that makes you uncomfortable, and you may stop answering questions at any time. Your decision to answer or not answer these questions will not affect services you receive from the health department. If you have any questions about the survey, or want more information, you may call (304)348-6494.

Question Title

* 1. Please enter today's date. (MM/DD/YYYY)

T