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Education Classes Data Survey
(For NAMIFC Staff Only)

Education Classes Data Survey

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All data is required when reporting online at www.NAMI.org/programdata

"*" indicates required fields

Progam*
Facility Street Address or Name*
MM slash DD slash YYYY
Language presented in*
Was the class held in partnership with the Veterans Administration*
Did you actively encourge participants to become NAMI Members?*

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