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Sign up for Chronic Disease and/or Diabetes Self-Management workshops

1.Name:
2.Phone number:
3.Email Address:
4.What city or town do you live in?
5.Class you like to sign up for: Chronic Disease Self-Management Workshop (for people with chronic disease or a caregiver, 6 week long class) and/or Diabetes Self-Management Workshop (diabetics, pre-diabetes and caregivers, 6 week long class).
Yes
No
Would like more information
Chronic Disease Self-Management Workshop
Diabetes Self-Management Workshop
Both Chronic Disease Self-Management and Diabetes Self Management classes have two ways we can teach the class. One-hour class is a shorter, more condensed version of the 2.5 hour class. Both versions of the class are for 6 sessions for 6 weeks.
6.We offer an one hour by classes for Chronic Disease Self-Management Workshop and Diabetes Self-Management Workshop. What day of the week works best for you?
7.What time(s) works best for the one hour classes Chronic Disease Self-Management Workshop and/or Diabetes Self-Management Workshop?
8.We offer 2.5 hour classes for Chronic Disease Self-Management Workshop and Diabetes Self-Management Workshop. What day(s) of the week works best for you?
9.What time(s) works best for the 2.5 hour Chronic Disease Self-Management Workshop and/or Diabetes Self-Management Workshop.
Current Progress,
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