Thank you for your interest in joining the PRODROME AND EARLY PSYCHOSIS PROGRAM NETWORK (PEPPNET). Your responses on this brief form will help us better understand our growing membership and allow us to develop a structure and services that appropriately meet the diverse interests and skills represented.

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* 1. Please enter your name and contact information.

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* 2. Describe your primary role.

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* 3. What do you hope to gain from participating in PEPPNET?

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* 4. Were you invited to join the Child and Adolescent (CAP) First Episode Psychosis list serve? (if "yes", please specify by whom)

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* 5. Are you currently working with an early psychosis population in some capacity?

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