Each of the Paradigm Project’s 17 Design Teams is using the tools of human-centered design to develop an innovation to make health services research (HSR) more useful and used. Stakeholder input is a key part of that design process.

If you are willing, we would like to match you to an appropriate Design Team to provide this important input. We expect the time commitment will be as little as an hour or so, but we also expect to have opportunities for more sustained involvement for those who are interested. To facilitate this process, we'd like to learn more about the perspectives and lived experiences you bring to the table.

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* 1. What is your name?

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* 2. What is your professional contact information?

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* 3. How do you identify?

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* 4. Which of the following best describes your race/ethnicity?

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* 5. If applicable, please list your degree(s):

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* 6. For approximately how long have you been working in your current field?

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* 7. Which of the following best describes your current occupation?

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* 8. What is your current affiliation?

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* 9. In a short phrase (or phrases), how would you describe your professional expertise, areas of research, and/or other interests related to health services research (e.g., patient advocacy)?

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* 10. Please indicate the types of organizations where you have ever worked (not including jobs outside the health sector as a student). Select all that apply:

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