• EXCITE Activity 1 Reporting

  • What would you like to do today?*
  • Do you anticipate finishing your work plan before your next monthly report?*
  • Format: (000) 000-0000.
  • Which of the following best describes the place where your priority population lives? Select all that apply.*
  • What is the race of your priority population? Select all that apply.*
  • Are individuals of Hispanic, Latino, or Spanish origin included in your priority population?*
  • Which of the following descriptors reflect your project’s priority population? Select all that apply.*
  • Do you have a department or professional school within your academic institution to list as a project collaborator?*
  • Do you have an external academic institution to list as a project collaborator?*
  • Do you have a healthcare or community partner to add a project collaborator? (If you need to add new collaborators whom you have not previously reported, click yes. If you don’t have new collaborarators to add, choose No.)*
  • Which of the following project engagement activities were used during the last reporting period? Select all that apply.*
  • Have you DEVELOPED educational campaign products (assets) as part of your project? If you have provided these assets in a previous reporting period, you do not have to report them again.*
  • Select educational campaign products (assets) DEVELOPED as part of your project.*
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  • Have you ADOPTED educational campaign products (assets) as part of your project?If you have provided these assets in a previous reporting period, you do not have to report them again.*
  • Select educational campaign products (assets) ADOPTED as part of your project.*
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