Exit this survey Module 3 Health Equity and Prevention Primer 1. Demographic Information Question Title * 1. Note to CHES-certified participants: Prevention Institute is offering 5 Category I Continuing Education Contact Hours (CECH) for completing the Health Equity and Prevention Primer. Certified Health Education Specialists (CHES) must complete all seven modules.Discontinue filling out this survey and fill out the CHES Assessment and Evaluation Survey instead at www.surveymonkey.com/s/BQRGBX9 to receive credit. Question Title * 2. Please provide some demographic information (optional): Name: Organization: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address: Phone Number: Question Title * 3. What type of community or communities does your ogranization serve? Urban Rural Suburban Tribal Question Title * 4. What is your job title? Question Title * 5. What type of organization do you work for? Public Health Department School Non-profit Other If "other" please specify: Next