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* 1. Would you like to participate in the Maternal and Child Health Measurement Research Network?

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* 2. Please rate your level of interest in participating in the MCH-MRN

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* 3. Below are some possible topical measurement areas of focus for the MCH-MRN Technical Working Groups. Please indicate all groups in which would you be interested in participating.

  Yes Maybe No
Flourishing and Positive Health (including Holistic Health and Well-being)
Preventive Care
Family Health
ACEs and Associated Risk and Protective Factors
Preconception
Middle Childhood
Adolescent Health
Managing Transitions
Health Equity

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* 4. Below are some possible cross-cutting methodological areas of focus for the MCH-MRN Technical Working Groups. Please indicate all groups in which would you be interested in participating.

  Yes Maybe No
Local Area Estimation
Measure Development
Data Linkages & Sharing Data Across MCH Programs
Common Measurement Scaling, Scoring, and Reporting
Measure Harmonization (Across Programs and Initiatives)
Supporting Use and Maintenance of Existing Measures
Assessing Positive Deviance and Health Potential
Integrating Family- and Child-Reported Information into EHRs
Use of Non-Traditional Data (e.g. Observational, Qualitative, Crowd-Sourced, Biomarker)

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* 5. Please let us know the best way to contact you about your participation in the MCH-MRN:

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