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Minnesota Student Survey (MSS) Results Interest Form
Please tell us what student health topics you are most interested in and any summary reports or additional information you would like to receive.
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First name
*
First and last name
Your answer
Last name
*
First and last name
Your answer
Email address
*
Your answer
What health topics are you most interested in? (Select all that apply)
*
General health (nutrition, sleep, etc.)
Substance use
Mental health
Relationship violence
Sexual health
Cyberbullying or harassment
Vehicle safety
Adverse Childhood Experiences
Family and adult relationships
Extracurricular opportunities
Required
I would like to receive...
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Summary reports on the health topic(s) checked above
More info on how youth are using the data to improve health outcomes
More info about the Alliance for Substance Abuse Prevention
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This form was created inside of Winona County Alliance for Substance Abuse Prevention (ASAP).
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