Happy Heart month! The American Heart Association (AHA) and the National Association for Home Care and Hospice (NAHC) are working together to bring to you education, resources, and connections to help you better care for your patients with Heart Failure (HF). Please help us with this quick 3-minute survey!

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* 1. (First/Last Name)

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* 2. Title

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* 3. Organization

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* 4. City

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* 5. State

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* 6. Zip Code

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* 7. Do you have a Heart Failure (HF) program in place? 

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* 8. What is your annual Heart Failure (HF) patient volume?

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* 9. Please check the following topics that you would want further education/information.

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* 10. What specific areas around heart failure care would you like addressed based on your topics chosen?

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* 11. What are your biggest challenges in caring for heart failure patients?

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* 12. Name three ideas for educational content that explains your product or service.

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* 13. Additional Comments 

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