Pukuu Wellness Hour September 15, 2021
Join us on Wednesday 9/15/2021 11:30am-1pm PST for the Pukuu Wellness hour online event.  

Thank you so much for your interest in the Wellness Hour.    Registration includes chance to win free online giveaways such as Target and Amazon $25 electronic gift cards.
This registration gives you the opportunity to tell us what you want to see on the show.


Join us for a afternoon of fun, wellness and laughs. 💛
Covid-19 Education and Bingo:
❤ Free online event and online giveaways 🤍 Wednesday 9/15/2021 Time 11:30-1pm PST. 🖤 Invite your friends, family, aunties - unci's and grandpa's to the event.

The BINGO portion of this event is CLOSED as of 9/10/2021 at 8pm pst.   Please continue to register to be added to online giveaway.

Event is Live on Pukuu Cultural Community Services and Powwows.com FACEBOOK page.  You can also watch on AC and Associate's YOUTUBE.
#pukuuwellness #ac_and_associates #powwowscom #tutcint

Sign in to Google to save your progress. Learn more
First *
Last Name *
Address *
City *
State *
Zip Code *
Are you in Los Angeles county zip codes 90001-93591 *
Required
Phone number *
Ethnicity/Tribe *
What are you looking to learn from the Pukuu Wellness Hour? *
Do you know where you can access PPE in the community for free or low cost? *
Do you know where can you get a free COVID test? *
What has Pukúu Wellness Hour Education Brought to you in Steps to Recovery (Select all that Apply)? *
Required
What Information in Regards to COVID-19, Would you like to know more about (Select all that Apply)? *
Required
Can you identify any barriers to receiving a COVID 19 vaccine? *
If YES what would those barriers be? Example- Lack transportation? Lack of information? Not knowing where to go? Scared of the vaccine/side effects? *
Share some suggestions with us on future topics you would like to see on the show.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report