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About
- Programs
  - Courageous Program
  - Father & Me Legacy
- Podcast
Events
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Session Feedback

Name *

First

Last

Email *

Phone

After todays session do you feel encouraged about your role as a father? *

Yes
No

Do you feel further equip in any of the following area (select all that apply)? *

As a father
As a leader
In communication
In networking
In relationships
In gaining community
N/A
Other

If you selected "other" please explain.

Are you in need of any of the following services or assistance?

Counseling
One on one session w/ Marquess
Furniture or household goods
Living supplies
Financial assistance
Legal assistance
N/A

Additional comments or suggestions

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  - Courageous Program
  - Father & Me Legacy
- Podcast
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