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* 1. Are you currently a member of NIARN?

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* 2. If a current member, please select reasons for your interest in NIARN

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* 3. Would you be more apt to attend an all day NIARN Conference or one-hour continuing education offered throughout the fiscal year?

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* 4. Would you prefer NIARN meetings and educational offerings be available in the following formats:

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* 5. Looking ahead at fiscal year 2023, what topics for education are of interest to you? Please select all that apply: 

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* 6. Are you interested in presenting a future CE event?

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* 7. Would you like to be contacted by an NIARN Board Member for more information on getting involved?

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* 8. Name

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* 9. Email Address

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* 10. Years in rehabilitation setting 

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