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Families Impacted by Addiction Post-COVID Workshop
Please fill out the survey below with your information if you are interested in attending our workshop helping families addicted by addiction post-COVID19 hosted by YES Community Counseling Center.
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Zip Code
*
Your answer
Is there someone in your immediate family struggling with addiction post-covid?
*
Yes
No
Not my immediate family, but someone close to me.
I am struggling with addiction.
Other:
Required
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