Healthy Communities Healthy Youth
Healthy Communities Healty Youth Contacts
Mary LaBlanc, Chair
PO Box 686
Wautoma, WI 54982
Healthy Communities Healthy Youth Evaluation Form
After your event has completed, please take the time to let us know how it went.
Name of Organization
Please put numbers by age/gender categories of all those attending:
Please use the following age groups: 0-4, 5-11, 12-14, 15-17, 18-20, 21-24, 25-44, 45-64, 65+
List all other ethnic groups attending other than white by age and gender:
If selecting other, please enter in the text box provided.
Share observations and comments about what worked well:
Do you plan to continue this event/program?
Terms of Service
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