Tell us what you are doing!

The National Diabetes Education Program wants to hear from you. Tell us how you helped increase the awareness of diabetes in your specific tribe or culture. We can share your experiences and successes with our partners and communities throughout the country. Your words of wisdom will provide a wealth of ideas on which other communities can build their diabetes awareness efforts.

What was your activity?

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How did you do it?

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Who helped?

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What were the results?

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Did local media cover the event?

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Any next steps planned?

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What else would you like to see from the NDEP?

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Name

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Organization

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Address

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City _______________________ State __________________ Zip __________________

Phone ________________ Fax __________ E-mail ______________________________

Can we refer other groups to you for additional information? (Circle one)
   Yes        No

Can we post information about your program on the NDEP partner website? (Circle one)
   Yes        No

Fax or mail your submission to:

National Diabetes Education Program, Division of Diabetes Translation
4770 Buford Highway, NE (MS K-10), Atlanta, GA 30341-3717
Fax: (770) 488-5195, Phone: (770) 488-5196

National Diabetes Education Program (NDEP)    http://ndep.nih.gov
NIDDK, National Institutes of Health, Bethesda, MD

A Joint Initiative of the National Institutes of Health and the
Centers for Disease Control and Prevention