Survey of Obesity Prevention Programs/Initiatives in Washtenaw County - 2013

The Health Improvement Plan of Washtenaw County (HIP) is compiling information on all obesity prevention and treatment programs in Washtenaw County. This information will help facilitate collaboration, identify gaps, assist with needs assessment and program planning, and will be shared with HIP partners and on the HIP website.

We ask that you complete the following form FOR EACH obesity prevention program/initiative you are leading. The form takes about 5 minutes to complete. NOTE: YOU MAY NEED TO COMPLETE THIS FORM MULTIPLE TIMES. If you have 3 different obesity prevention programs, you will complete and submit this form 3 times.

Please contact Lily Guzman at 734-544-2983 or with questions, comments, and suggestions.Thank you for your assistance with this effort and for the ongoing work you do to help reduce and prevent obesity in Washtenaw!

* Required

A) Program Description

B) Target Population

C) Program Funding and Collaboration

D) Wrap Up

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