STH Data Collection

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STH Data Collection

Complete this form for activities related to indirect activities, PSE, and social marketing initiatives. PSE and social marketing projects may be ongoing and may span multiple fiscal years. You can compete this form multiple times for a single site. Please note the site name and utilize the same name each time you complete the form for new activities conducted at that site. Please reach out to Tammy Brunelle at tchaseb@ncsu.edu with questions. Thank you!

Email *

Select your project type: *

This is: a one time event, reaches the individual level, not part of an ongoing plan, not part of a current or previous PSE project, short-term, and not sustainable

This is: part of an ongoing project, reaches the community/population level, part of an ongoing plan, long-term, sustainable

This is: use of social marketing materials, sharing of PSA's, distribution of contact cards

I am not sure

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