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PLEASE TELL US WHAT YOU THINK!

California Heart Connection

A support and information network for those with congenital heart defects

What does California Heart Connection mean to you?

If you have attended any picnics - What did the picnic mean to you?

Your first name:

Email address:

May we use your comments on our website and in other CA Heart Connection materials?

We will be sponsoring a seminar on heart-related topics in October 2007. Please rank the following topics from 1 to 10 (with 1 being the topic you are MOST interested in.)

What day or time would be best for you?

Would you be able to come if we were not able to provide child care? (You could bring another adult to watch your child while you attended the seminar.)

Any other comments or suggestions on the seminar, our picnics, or other services is appreciated!

Click "Submit" to send us your form. Thank you for taking the time to give us your feedback!

Other topics you would be interested in:

Feeding Issues (breast/bottle feeding, feeding tubes, nutrition)

Developmental issues (getting help with gross and fine motor skills)

Parenting Issues (talking with your child about his/her defect, scar, upcoming surgeries, limitations, teasing, etc.)

Health Insurance (understanding insurance issues)

Planning for your child's future after you're gone (creating a will or trust)

Heart Valves (types of valves, how they work, future technology)

Genetics (of congenital heart defects)

Latest medical advances and possible future technologies and treatments

Last name:

School issues (getting your child help through an IEP or 504 plan)

Heart Transplants (current issues and future advancements)

What time of day would work best for you?

Age of child or adult with a heart defect:

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