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Triple P Evaluation - Practitioner Survey on Families Served - Current

1. Please select the county(ies) that you serve *This question is required.
3. Please select the DHHS funded Lead Agency for your region that coordinates Triple P implementation and data collection for your agency *This question is required.
5. Please select the county where the service was delivered:

  *This question is required.
6. Select the year this report represents. *This question is required.
7. Select the reporting period (Quarter) this data represents. *This question is required.
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