Voices for Prevention seeks to build a unified statewide voice for substance abuse prevention by collaborating with a diverse group of prevention specialists, service providers, community coalition members and individuals with an interest in and a commitment to substance abuse prevention. We would like to learn how to form networking clusters in state AND what information and assistance you would find valuable and helpful to the work being done in your communities. Please provide us with your feedback by completing the survey below so that we can provide materials and services that are both beneficial and impactful. Thank you!

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* 1. Please provide your contact information (Name, organization, city, position, number and email).

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* 2. In general, what are the main functions of your organization/coalition? (Check as many as apply)

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* 3. What is your organization's main focus?

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* 4. If you are a collaborative, how many organizations are represented in your group or organization?

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* 5. Considering Voices for Prevention is a statewide substance abuse prevention initiative that focuses on advocacy, education and networking, what advocacy information or services would interest you or would be beneficial enough that you would consider joining a networking cluster? Please check all that apply.

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* 6. What educational information or services would interest you or would be beneficial enough that you would consider joining a networking cluster? Please check all that apply.

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* 7. What networking information or services would interest you or would be beneficial enough that you would consider joining a networking cluster? Please check all that apply.

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* 8. Please check all other resources that may be of interest to you.

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* 9. Please select your clustering preference.

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