We invite you to organize a screening of one or more of the seven episodes of “Unnatural Causes.” Each episode of the documentary sounds the alarm about America's socio-economic and racial inequities in health and the search for root causes.

A facilitated discussion can follow each screening. Health Equity Initiative staff are here to help you organize and facilitate your event.

Episode topics include:

• In Sickness and In Wealth
• Place Matters
• Becoming American
• When the Bough Breaks
• Bad Sugar
• Not Just a Paycheck
• Collateral Damage

Name: *

What organization is the screening for?: *

Phone number: *

Email: *

Where will the screening(s) and dialogue(s) be held?:

Name of building, address, city, state and zip code.

Screening date:

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Screening time:

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am

pm

Which episode(s) do you want to screen and discuss?:

Sickness/Wealth

Place Matters

Bad Sugar

Becoming American

Collateral Damage

Paycheck

Bough Breaks

How many people do you hope will come?:

Is this free and open to the public?:

Yes

No

Can you provide audio-visual equipment?:

Yes

No

Can you provide refreshments?:

Yes

No

Can you provide a facilitator?:

Yes

No

Can your facilitator come to our training?:

Yes

No

How do you plan to promote this event?:

Email

Flyer

Advertisement

Word of Mouth

Web

Other

Do you need help with promotion?:

Yes

No

Comments/questions:

Word verification: * (verify using audio)

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