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* 1. I teach the following health/medical/STEM science classes

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* 2. How interested are you in attending a fall conference?

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* 3. We are considering several different locations for this event- to serve the majority of members. Which would you prefer?

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* 4. For a 1-day conference, which of the following days work best for you?

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* 5. Do you have any dietary restrictions?

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* 6. Are there any specific topics and/or Hot Topics that you would be interested in learning about at this event?

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* 7. Are there any speakers that you would like to recommend for this event?

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* 8. Are there any questions that you would like to be addressed at this event?

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* 9. What is your name and the best email to send you information on the event?

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* 10. Please list other Health Science teachers that you work with that are not in attendance today.

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