Climate and Health Youth Lesson Plan Survey   
Thank you for using our Climate and Health Youth Lesson Plan in your community. Tell us how it went! We appreciate the feedback that you provide when filling out this short survey. 

Please complete a new survey every time you use the toolkit. When you complete a class (with at least 10 attendees) and submit a survey you have a chance at winning a $100 gift card - at least one drawing will be held by July 31st. All surveys must be submitted by midnight on July 31st to participate. Only classes taught in the United States are eligible for entry. Winners will be notified in August. Contact michelle.loosli@apha.org with any questions.
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What is your name? *
What is your email address?
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Are you an APHA Member?
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Are you an APHA Affiliate Member?
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At which school did you present the materials (MUST include City & State)?
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About how many students were in the group?
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To what grade or group of students did you present?
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What went well while implementing the Climate & Health Lesson Plan & Materials?
What could have gone better while implementing the Climate & Health Lesson Plan & Materials?
Any other comments?
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