Welcome to the Outreach Tracking Form!

This form is used to document the South Dakota Rape Prevention Education outreach activities. It will take approximately 5-10 minutes to complete this form. The answers you provide will be used by the South Dakota Department of Health and the South Dakota Network Against Family Violence and Sexual Assault to make data-informed decisions about program reach and for reporting purposes.

Your responses to this survey are confidential. Responses will only be reported in the aggregate. If you have questions at any time about the form, you may contact Beth Walstrom at 605-394-6058 or by email at Beth.Walstrom@sdstate.edu.

Thank you very much for your time and support!
The South Dakota Rape Prevention Education Team

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