1)      What objectives should be addressed by a North Dakota wellness plan?

2)      How should the objective(s) be met?

3)      Which organizations should contribute to the achievement of this(these) objective(s) and implementation strategy(-ies)?

4)      Which funding sources should be used to fund this(these) objective(s) and implementation strategy(-ies)?

5)      What organization(s) do you represent?

6)      How involved in developing a statewide wellness plan would your organization like to be?

(Please select one.)

                       a) very involved                    b) somewhat involved              c) not involved

     Please describe:
    

7)  How involved in developing a statewide wellness plan would you as an individual like to be?

(Please select one.)

                        a) very involved                    b) somewhat involved              c) not involved

         Please describe: