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Telling Our Own Health Stories Registration
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Full Name
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Your answer
Age
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Your answer
Pronouns
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Email
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Your answer
Which workshop do you want to go to?
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November 12 (Virtual Workshop) - COVID Vaccine: From the Frontlines, Let's Talk.
December 1 (Virtual Workshop)
December 8 (Virtual Workshop)
January 5 at St. Mark's Hope and Peace Church
January 12 at St. Mark's Hope and Peace Church
What would you like to learn or be able to do after this workshop?
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How did you hear about the workshop?
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Choose
Social media
Paper flyer
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Word of mouth
Other
Do you have any accessibility needs you want to let us know about?
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(In person workshops only) If you need to bring anyone with you to the workshop, how many people? (Helps us plan for capacity at our workshop space)
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Do you have any questions for us?
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Would you like to get occasional email updates from IMA?
Yes
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