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* 1. What is your name? (optional)

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* 2. I am a ...

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* 3. I practice in...

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* 4. I joined Beacon in

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* 5. How old are you?

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* 6. Please rate the following from 1 to 6.

  1 - Strongly disagree 2 3 4 5 6 - Strongly agree
I consider myself fully engaged with Beacon and the Beacon initiatives.
I understand and can articulate Beacon's mission.
My staff understands and can articulate Beacon's mission.
Beacon brings me significant value.
I am proud to be a member of Beacon.
I believe encouraging my office manager / staff to participate in Beacon is important.
I would / have recommended Beacon to my colleagues.
The content (newsletters, blog posts, educational webinars, programs) Beacon shares is valuable.
I find networking 'Meet and Greet' events worthwhile.

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* 7. The biggest obstacle in the way of my participation with Beacon is...

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* 8. How can we improve the way we communicate with you?

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* 9. If there was one thing we could do to improve Beacon to better fit your needs it would be...

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