Website Feedback & Contact Request Form

Please use this form to share feedback about our website (https://iowa-aod.github.io/Dashboard/). This form can also be used to submit a request for contact. If you are a community member interested in adding your community data to the Community Data tab please reach out to us! We will also be facilitating workshops in Cedar Rapids, Iowa city, Marshalltown, & Burlington in early 2023 to help community members learn how to use this tool to support their alcohol prevention efforts, please submit a contact request if you are interested in joining us for a workshop!

Please click the blue calendar icon below to select today's date.

You can tell us what you liked, disliked, or share any recommended changes you have for the website.

Please use the drop down menu below to tell us if you'd like to be contacted. Select all that apply.

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Click the boxes below to indicate your preferred contact method , you can select all that apply.

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Thank you for sharing with us!