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Test Form
Well-Being Community Fair
Organization Information:
Organization Name
Contact Information:
Name
First
Last
Email
Phone
Organization's Mission and Focus (e.g., well-being services, community programs):
Which social determinants of health does your organization address? Please check all that apply:
Income and social status
Employment and working conditions
Education and literacy
Childhood experiences
Physical environments
Social supports and coping skills
Healthy behaviours
Access to health services
Biology and genetic endowment
Gender
Culture
Race / Racism
Other (please specify)
Other
Would you like to reserve a space in the café to offer a public session? If so, what?
Workshop or Presentation
Interactive Activity
Speaker on a Well-being topic
Other (please specify)
Other
Describe the well-being activity or service you would like to offer at the event:
Additional Information:
Is there any specific equipment or space requirements for your booth or activity? If yes, please specify.
Do you have any dietary or accessibility requirements that we should be aware of?
Is there any other information or special requests you'd like to share with us regarding your participation in the Well-Being Community Fair?
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