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Email
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Your email
Full Name
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Email
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Your Facebook Name
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WhatsApp enable Phone number
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What State do you reside
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What City do you reside
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Your answer
Please briefly introduce yourself (Including level of Education)
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Your answer
Have you involved in a community outreach before?
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Yes
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Do you work well with a team or as an Individual?
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Team work
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Don't Know
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Age
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21- 25
26 - 32
33 - 38
39 -45
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Motherhood Nigeria Initiative
Do you really have passion for Maternal and Child health matters?
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Maybe
Have you Volunteered before?
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Yes
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Do you know person who have been affected by maternal or infant mortality?
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Your answer
How do you think we can end the preventable causes of maternal or infant mortality in Nigeria
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How do you want to participate
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Team member
State PR/ Secreatry
Health professional team
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When will you be available to participate?
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Within the week
Only the weekend
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