Annual Survey

Enter the year that this survey response represents.
Coalition Address

Policy Focus and Program Initiatives

Current Priorities
Does your coalition engage in lobbying?

Budgetary Info

Is your state CDC-funded?
Is your coalition funded by your state's CDC grant?
Does your coalition use an outside fiscal agent?
Does your coalition have a fund-development plan?
Are you willing to share your fund-development plan with other coalitions?
Which of the following approaches has your coalition undertaken to generate funding?
Please enter a number from 1 to 100.
Please enter a number from 1 to 100.
Please enter a number from 1 to 100.
Please enter a number from 1 to 100.

Coalition Structure

Contract Employees?
Do you offer benefits to your paid staff?
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Max. file size: 256 MB.
(Please avoid commas in filename)
Max. file size: 256 MB.
Committees?
Does your coalition have affiliated regional coalitions?
Does your coalition have a membership?
Membership Dues?
Do members have voting rights?
Is membership open to anyone?
Does your coalition have a membership application or criteria document?
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Max. file size: 256 MB.

Planning

Does your coalition have a strategic plan?
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Does your coalition have a state advocacy plan or legislative action agenda?
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Max. file size: 256 MB.
Does your state have a state oral health plan?
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Max. file size: 256 MB.
Does your coalition help to develop and monitor implementation of the state oral health plan?

Communications and Activities

Types of communications modalities

Evaluation

Does your coalition have a formal evaluation plan?
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Max. file size: 256 MB.