FCPH Partner Jurisdiction Feedback Form
We would love to hear your thoughts, concerns or problems with anything so we can improve!
Name
First Name
Last Name
E-mail
What type of agency do you represent?
Government
Non-profit
Schools
Health care
Other
What format would you like to receive information from us in the future? (Select all that apply)
*
Zoom webinar (current format)
Newsletter
Website
Other
How frequently would you like to hear from us? (Select all that apply)
*
As needed
Monthly
Quarterly
Trimester
Semi-annually
Annually
Other
What topics would you like to hear about in 2026? i.e. environmental, family, home, community, etc.
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