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* 1. Which of the following social media platforms do you use at least once a month?

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* 2. How would you categorize the primary healthcare constituent to which you are most closely aligned in your day to day work in the health care industry?

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* 3. Which of the following healthcare industry conferences have you attended in the last two years?

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* 4. How often do you participate in healthcare-related tweetchats like #HITsm, #hcldr, #hcsm, etc?

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* 5. Have you been a member of any public or private healthcare-related committee, workgroup, task force, etc. in the last three years?

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* 6. How often have you been interviewed by and/or quoted by healthcare related trade media publications?

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* 7. Have you ever created or otherwise participated in a podcast?

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* 8. Have you ever participated in a blab session?

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* 9. If you have a blog please provide a link to that blog. If you blog on platforms like @Medium or LinkedIn Pulse, please provide a link to one or more of your posts.

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* 10. Would you be ok with me profiling the information you provided above with your specific name and responses? If so, please provide your Twitter name and email below. I will share EXACTLY what I would include for your review and approval prior to doing so. Thanks!

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