Is it okay to leave a phone message? Yes
How do you identify your cultural background? This information will increase our awareness of specific cultural concerns and practices, and help us identify who we are reaching with this program.
African Nova Scotian
How did you hear about this program? Poster
Community Health Team
Mental Health Professional
Do you consent to being contacted within the next 12 months for a follow up evaluation? Yes
What is your preferred language?
Which zone do you live in?
== choose one ==
Central (HRM, Eastern Shore & West Hants)
Eastern (Cape Breton, Guysborough & Antigonish)
Northern (Colchester-East Hants, Cumberland & Pictou)
Western (Annapolis Valley, South Shore & South West)
If you dont know your zone please refer to the link below.
Please Click Here