Thank you for your interest in the Rural Health Transformation Program (RHTP) Regional Planning Meetings. These meetings are being held across Alaska to gather local perspectives on priority issues, challenges, and opportunities related to rural health, helping shape a shared vision for each region’s future.

We know not everyone can attend in person, so this form offers a way to contribute ideas, questions, and discussion topics for the planning team to consider. Your input will help ensure that voices from across Alaska are reflected in the meeting discussions. After each meeting, the Department will compile a summary report that includes themes from this community input and will share it back with the region.

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* 1. Please provide your first and last name.

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* 3. Which community or region do you live in?

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* 4. Which of the following best describes your role? (select all that apply)

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* 5. Please list the organization(s) that you represent, including your role (eg, board member, employee, volunteer, etc.).

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* 6. What rural health topics or issues in your region do you feel should be prioritized?

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* 7. What are the biggest strengths or assets in your region’s current health system that you believe should be built upon?

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* 8. What barriers do people in your community face when trying to access healthcare or public health services?

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* 9. What questions would you like to be addressed during the regional planning meeting?

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* 10. Are there specific topics or themes you hope will be discussed?

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* 11. Is there anything else you would like to share that would help the planning team understand the health landscape in your region or community?

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