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Health Fair 2025
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* Indicates required question
Email
*
Your email
Your First Name
*
Your answer
Your Last Name
*
Your answer
Are you attending the Health Fair?
Yes
No
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Organization Name (if applicable)
Your answer
How many people will be in your party (including yourself)?
Your answer
Which of the following health screenings are you interested in?
Blood Pressure Check
Cholesterol Screening
Glucose Screening
Vision Screening
Dental Check-up
Flu Shot
What topics are you most interested in learning about at the Health Fair?
Nutrition and Diet
Fitness and Exercise
Stress Management
Preventative Care
Chronic Disease Management
Mental Health
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What time works best for you to attend?
Time
:
AM
PM
How would you rate your current knowledge of health and wellness topics?
1
2
3
4
5
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Do you have any dietary restrictions or allergies we should be aware of for any provided refreshments?
Your answer
Phone Number
*
Your answer
Your City Name (example: Largo, Landover, Bowie, Lanham, etc.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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