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Sussex County Support Group Survey

September 12th, 2012 was the last session of the Shore Group II Self-Help Group due to low participation. Please answer the two quesitons to help us determine our next steps!

1. Name

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Name:

 

 

   

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What's this?

*2.
Question - Required - Do you want a Self-Help Group in the Georgetown area?
Please make 1 selection from the choices below.

3. If yes, then what type of group would you be most interested in attending?
(Select one of the available choices or enter a different value.)



   Please leave this field empty