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* 1. Will you be participating in the 2023 Small Steps to Success Campaign within your office?

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* 2. If you are not participating in 2023, please explain why.

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* 3. How would you like to access your campaign resources (i.e. patient letter, poster)

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* 4. Please provide your contact information so we can follow-up with you on your Small Steps 2023 progress & results.

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