Thank you for taking time to read the Burden of Asthma in North Carolina, 2006. In order to help us evaluate the report and improve future editions, please complete and submit the short online survey below. Your feedback will be sent to North Carolina Asthma Program staff.
PDF Evaluation Form Option: If you have difficulty with the form below or need or prefer to complete the evaluation by hand, there is also a PDF version available. If you use the PDF version, you will need Adobe Reader. Please return the completed PDF form via fax to 919-870-4801. (Do not save the completed PDF evaluation form to your local hard drive and attach it to an email, as form data cannot be saved to your local hard drive using Adobe Reader. If you require additional help submitting the form, please call 919-707-5213.)
Thank you in advance for your feedback.
The Burden of Asthma in North Carolina Report: Evaluation Form