According to His Word Focus Group Sign- up Form

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Thank you for your interest in learning more about tobacco cessation, HIV prevention and other ways to improve your overall health. Please fill out this form to sign-up for an upcoming focus group hosted by According to His Word Outreach. Once you complete the form we will follow-up with more information and a calendar invitation that we will send to your email.

For your participation we will be providing you with a gift card and ingredients for a meal that you can make at home after you complete a survey at the end of the session.

When: Friday, November 18th, 2022 at 4pm-5:30pm

Where: Miracles Central Apartments, Community Room, 1306 NE 2nd Ave, Portland, OR 97232

For more information contact us at (503) 516-9147 or accordingtohiswordoutreach@gmail.com

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Do you have any dietary restrictions? *

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Are you a current tobacco user? *

Yes

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According to His Word Outreach Staff

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