BROWN COUNTY HOME PAGE
Aging and Disability Resource Center
General Information
About Us - Click for more
Activity Centers Click for More
Advocacy Legislative Updates - Click for more
Caregivers Click for more
Dementia - Click for More
Community Café Dining Sites
Grounded Cafe
Family Care - IRIS
Homebound Meals
Help Finding Services - Click for More
Money Matters-Benefit Specialists - Click for More
Stay Healthy Stay Active - Click for more
Transportation
Volunteering
ADRC Magazine
ADRC Magazine Subscription
Brown County Prevention Coalition Falls Prevention Survey
Resources
  -   FAQ
  -   Forms & Documents
  -   Links
  -   Contact Us
Back To All Departments
Departments » Aging and Disability Resource Center
Brown County Prevention Coalition Falls Prevention Survey









We appreciate your help in raising awareness in older adults about how they can prevent falls to stay healthy and independent.

Please take a moment to take this short survey about your use of the falls prevention materials provided by the Coalition.

Thank you!
Did you find the falls prevention awareness information useful for your members?
Yes
No
If you did not find the falls prevention awareness information useful, why not?
Did you distribute the falls prevention information to your members?
Yes
No
If you distributed the falls prevention information to your members, please note how you shared it.:
Approximately how many people received the falls prevention information?
Please provide your organization name.
(This survey is used for statistical purposes only):
Copyright © 2019 Brown County Government - Wisconsin Legal Notice | Waiver Disclaimer | Acceptable Use Policy
HIPAA Notice of Privacy Practices | Aviso de Practicas de Privacidad
Linking Policy | Employees
Designed & Powered By DMI Studios

Non-Discrimination Notice:   English   Espanol (Spanish)   Hmoob (Hmong)  |  Language Assistance Service