*** SHARE YOUR PART-TIME HEALTHCARE

NEEDS AND CONCERNS ***

[PARTICIPANTS WILL AUTOMATICALLY BE ENTERED TO WIN

A SAMSUNG GALAXY TABLET. MUST COMPLETE BEFORE DECEMBER 2023.]

* IF WE SHARE YOUR STORY, DO YOU WISH TO REMAIN ANONYMOUS?
* NAME
0/250
* PERSONAL EMAIL ADDRESS
0/250
* PERSONAL PHONE NUMBER
0/250
* WRITE ABOUT THE HEALTHCARE NEEDS OR CONCERNS YOU WANT TO SHARE (500 characters or less)
0/500
* DO YOU HAVE QUESTIONS YOU WANT TO ASK THE DISTRICT ABOUT HEALTHCARE?
WRITE THE QUESTIONS YOU WANT TO ASK THE DISTRICT ABOUT HEALTHCARE (500 characters or less)
0/500
* WHAT DO YOU WANT TO DO WITH THE STORIES YOU SHARE HERE?
0/250

[PARTICIPANTS WILL AUTOMATICALLY BE ENTERED TO WIN

A SAMSUNG GALAXY TABLET. MUST COMPLETE BEFORE DECEMBER 2023.]