There are four questions.

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* 1. In what ways do you hope to participate in Walk-In Counseling Center's 50th Anniversary celebrations this year? (check all that apply)

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* 2. Many of our friends and alumni have stories about how Walk-In has changed their own or someone else's life. If you have a story to share about Walk-In, please write it in the box below. (Don't worry - there is more space than there appears to be!) If you don't have a story, skip to the next question.

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* 3. What is your relationship to Walk-In? (check all that apply)

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* 4. Please fill in your name. If you'd like to change the email address we use to contact you, please fill that in as well.  A phone number would be wonderful!