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* 1. Your Employer Type:

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* 2. Your Position Type:

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* 3. Age group of the youth your program serves:

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* 4. Your State:

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* 5. What topics are you most interested in reading about? (check all that apply)

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* 6. Rate overall satisfaction with NAA's e-newsletter (1-5)

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* 7. Additional comments/feedback:

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* 8. Your Contact Info (so we can notify you if you are the winner of the $100 gift card):

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