Sign up for Health Classes Winter Spring 2019
RequiredRequired Question(s)
Please tell us the type of classes you want to attend, we will follow up with details about when and where classes are available. All take place at or near a Heartland Health Centers clinic and several are offered at multiple times.  (Llenar en español
 
Required 1.

Which type of class interests you? (you can sign up for more than one)

Acupuncture
Aerobics
Cooking and Nutrition
Harm Reduction for Substance Use
Knitting Club
Tai Chi
Tai Chi + Acupuncture (for chronic pain management)
Walking Club
Yoga
Yoga + Stress Relief (for pain)
Zumba
  • Comment:

  • 500 characters left.
2.
Put your best contact information below. We'll reach out to schedule your class.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Cell phone:

3.

Are you a patient of Heartland Health Centers currently? 

Yes
No
Not sure
4.

Please tell us your birthdate.

 

50 characters left.
5.

What's your preferred language?

English
Spanish
Arabic
French
Nepali
Urdu
Vietnamese
Other  
6.

Please let us know if you have questions about classes we can help answer, if you are unsure which class interests you, or if there is a best time or way to contact you. 

 

1000 characters left.
Thanks for your interest in health education!  Coordinator Amanda Montgomery will be in touch soon. You can also reach her at 312-718-0660 or amontgomery@heartlandhealthcenters.org.