Low Salt No Salt Form

Have you implemented the Low Salt, No Salt program in your community?

Please let us know what groups you've interacted with by completing this form. Thank you!

What is your name? (required)

What organization are you affiliated with? (required)

What is the name of the group (organization, facility, etc.) that received Low Salt, No Salt information or materials? (required)

What is the address of the group that received Low Salt, No Salt information or materials? (required)

What year did you initiate contact with the group regarding Low Salt, No Salt information? (required)

In what watershed(s) is the group located within?

Please provide an email address in case we have follow up questions about your experience implementing Low Salt, No Salt.

Please provide any other information you'd like us to know about your efforts to implement Low Salt, No Salt in your community.

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