The survey has 3 parts. If you have questions or need help, contact Cindy Wielgos at (352)273-5323.

1) First we ask about contact information and your interests in Putting Families First.

2)Next we ask you to read and sign the Consent to participate.

3) We ask you to sign the HIPAA ackowlegement that you received the HIPAA notice provided.

Thank you!

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