Request for Missouri Prevention and Advocacy Leaders (MoPAL) Membership Survey
"Primary Prevention is intervening before health effects occur, through measures such as vaccinations, altering risky behaviors (poor eating habits, tobacco use), and banning substances known to be associated with a disease or health condition."
-CDC.gov
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Name *
Phone *
Email *
Town/ County of residence *
How did you discover this group? *
What Prevention Resource Center (PRC) or coalition are you from? *
What made you decide to join this group?
 *
Who invited you to the group?
 *
What role do you play in your community?
 *
How long have you been in that role?
 *
What does advocacy mean to you?  
 *
What skills do you think would benefit the group? *
Have you ever been asked to leave a group? If yes, please explain. 
 *
Which of these state priorities are most important to you? (Pick 1-3 off each list in order from most important)
 *
Required
Which of these federal priorities are most important to you? (Pick 1-3 off each list in order from most important)
 *
Required
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