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SLAQ Submission

 

Use this form to submit your SLAQ data to CDPH by uploading completed, electronically filled PDF files in the "file upload" section below.

*Only submit questionnaires with electronically filled data using this form. Do not submit forms that have been filled in by hand and scanned.*

There is a maximum of 10 file uploads with each form. If you need to submit more than 10 SLAQs, return to this form to submit your additional questionnaires. 

If you want to re-edit this survey later, provide a password:

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