Contact Info Update Survey

Questions marked with a * are required
Update your contact information to help us stay connected with you during your birthday, the holidays, and survey times. 
When you finish, you will be given the option to print or save all of your entries prior to submitting, to create an address book for yourself. You will also be entered in a drawing for a chance to win a $100 gift card!

The information you provide will be used to stay connected and contact you about the MNYTD survey if you have been selected as part of the MNYTD sample. We may also contact you with information regarding resources available for young adults. We will not share your contact information with any other organizations besides the MN Department of Human Services (DHS) or use it for any other purposes. By providing contact information, you consent that we may contact you in the future.

If you have any questions, you can reach out.
Contact Kia Her at IG at kiah@theimprovegroup.com, or the DHS Adolescent Services Unit by phone at 651-431-4312. To read the full privacy notice, click here.

Thank you for being part of MNYTD! 
I have read the above and accept the terms:
Click "Start" below to begin.