Help Us/Help Yourself: Learn More About Health

Downstate has started an exciting new project for women interested in learning more about various health topics. We are presenting a series of focus groups which will provide an opportunity for you to ask questions and discuss issues with the experts and other women with similar concerns. The meetings will feature refreshments and a gift for each participant. Funding for this project has been provided by a grant from the Region II Office of Family Planning of the U.S. Dept. of Health and Human Services.

If you are interested, please complete the following form:

Yes, I am interested in attending a Focus Group meeting at Downstate Medical Center.

Name ___________________________________________________



Contact Information:___________________________________________________

The topics I am interested in are:
_____ Menopause, Aging and related topics
_____ How to Stay Healthy and Fit
_____ Women and Disease (Asthma, Cancer, Hypertension, etc.)
_____ Reproductive Health: Pregnancy Fitness and Problems, STDs,
             Teen Issues (Self-image, Sex, Relationships, etc.)
_____ Other topics ____________________________________

My Preferred Meeting Time: _______Weekdays _____Week nights

I would like to bring a friend with me to a Focus Group meeting ___ Yes ___ No

Mail: Just tear out on dotted line and mail to:
    Brooklyn Women’s Health
    450 Clarkson Ave, Box 93
    Brooklyn, NY, 11203
    Fax: To Linda Chase at (718) 270-4409

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