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* 1. Please rate the value of the information shared during the presentation with 1 being not informative and 5 being extremely informative.

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* 2. Are you interested in ordering the COVID-19 vaccine from CareKinesis?

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* 3. If you answered “yes” to the previous question, about how many vaccines do you estimate your center might need? Note that the vaccine requires two doses per person, so for 300 participants, you would need 600 doses.

If you do not plan to use CareKinesis to provide the vaccine, please enter 0.

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* 4. If you are unsure about whether you would order the vaccine from CareKinesis, would you like someone to call you to answer questions you may have or provide more information?

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* 5. Would you like Dr. Ankur Patel or another team member to contact you regarding remote patient monitoring for COVID/flu or chronic disease management?

If yes, please provide your contact information at the end of the survey.

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* 6. Would you like someone to contact you with information about any of our CareVentionHealthCare services? Check all that apply and provide your contact information at the end of the survey. 

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* 7. What type of information or topics would you like to hear about in future webinars?

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* 8. Do you have any suggestions for improving this or similar events?

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* 9. Please provide your name and contact information if you have indicated you would like someone to contact you about the COVID vaccine or another service.

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