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We would like to know how you feel about the services we provide so we can make sure we are meeting the needs of the community. Your feedback will help us improve our services, and we will randomly select two individuals who have provided feedback to offer them a health basket for sharing their opinions with NAL. All responses will be kept confidential and will not affect your services.

Your participation in this survey is voluntary. If you decide not to participate in this survey or if you withdraw from participating at any time, you will not be penalized. We may use data gathered during presentations, our work with Indian Health Services, and for further projects that are related to our services.

The survey will take 2-4 minutes.

We will randomly select two individuals every quarter who complete this survey to be selected for a health basket valued at 30.00. If you are interested in entering this raffle please leave a method of contact at the end of this survey. 

By agreeing to the survey you are saying the following are true:

• You have read the above information
• You voluntarily agree to participate
• You are at least 18 years of age

If you do not wish to participate in the research study, please exit the survey at this time. If you wish to continue please state yes below.

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* 1. I agree to participate in this survey

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* 2. How clear was the presentation of information?

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* 3. How respectful do you feel the presenters were on the topic? 

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* 4. What other information do you want to see on this topic?

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* 5. Do you have any other comments you'd like to share? 

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* 6. If you would like to enter the raffle please leave some form of contact information below

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