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Mardi Gras Mambo Health Fest

Please complete by January 23, 2023

Would you attend a Health Fest at Saint Joseph the Worker on January 28, 2023?*
- Yes
- No
If you will attend, please indicate the number of guests, neighbors, friends, and family you will invite and will attend.
Please enter number
If you plan to attend, select the adult & children’s services you would like the Health Fest to provide? PLEASE SELECT THE SERVICES BY CHECKING THE BOX NEXT TO YOUR CHOICE.
- Adult Covid Vaccines- 1st Dose
- Adult Covid Vaccines- 2nd Dose
- Adult Covid Vaccines- Boosters
- Children’s Covid Vaccines- 1st Dose
- Children’s Covid Vaccines- 2nd Dose
- Children’s Covid Vaccines- Boosters
- Adult Flu Vaccines
- Children’s Flu Vaccines
- Nutritional Education
- Mental (Behavioral) Health Screening
- Health Screening (blood pressure & blood sugar)
- Hearing and Speech Screenings
- Vision Screening
- Gifts & Giveaways
- Pharmacist Consultation Regarding Vaccines & Your Prescribed Medication

Thank you for taking time to complete this survey!

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