MPC Questionnaire

This will help us to better understand you and the compiled data may help improve our communities.

Name Name * First Last
Email
Your Organization (if applicable)
What substance abuse prevention topics are important to you and why? *
What expertise, skills, talent, or other resource might you be willing to share to target what is important to you? *
What can we do to support your passion(s)? Please explain how this may align with our present or future projects and/or mission(s). *
Are you involved with any groups or organizations that may be willing to share MPC information, events or issues? If so please share: *
Please feel free to share any other thoughts or ideas below: *
Have you ever visited our website at montcalmprevention.org? *

Have you ever visited our website at montcalmprevention.org? Yes No
Have you ever visited our Facebook page facebook.com/MontcalmPrevention *

Have you ever visited our Facebook page facebook.com/MontcalmPrevention Yes No
Spam Protection. Please answer this simple question.
5, 6, 7, 8 : the 2nd number is?