The Contra Costa Men's Center is conducting a survey to assess men's opinions about what most contributes to romance and intimacy in your primary relationship. We urge you to take this survey. It is an anonymous survey, so you may participate without having to identify yourself by name.

If you are interested, click the Survey Form link below to open a Survey Form (in pdf format). You can print it, complete it and return it by FAX to 925-939-4554 or by postal mail to:

Steven Pechter Freemire, MFT
33 Quail Ct., Ste. 200
Walnut Creek, CA 94596
.

.Survey Form


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