Fall Prevention Month Survey 2019
Thank you for agreeing to take part in the Fall Prevention Month survey. We’d love to hear about your experiences with the 2019 Fall Prevention Month campaign. The survey should only take 10 minutes. To thank you for your participation, you can select to be entered into a prize draw for one of three $50 gift cards of your choice after completion of the survey.
Individual responses will be kept
anonymous and confidential. Anonymous means you don't share who you are. Confidential means whatever you
share with us is safe. Any public-facing report using the results of the survey will not include any
identifying information. If you have any questions about the survey, please contact Shameeza Allard at email@example.com.
Please click ‘next’ to start the Fall Prevention Month survey.
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