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* 1. Do you currently report data on pediatric hydrocephalus to a local or national clinical registry?

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* 2. What is your level of interest in participating in a national clinical registry on pediatric hydrocephalus?

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* 3. What features would you like the registry to include?

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* 4. This pediatric registry may be offered for an annual subscription fee of $10,000 per participating center.  The subscription fee will offset some of the registry’s operating costs, which include personnel salaries, technology vendor fees, and more.

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* 5. Is there another model that you would prefer for the registry?

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* 6. Please offer additional feedback.

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* 7. Thank you for your time. If you are interested in learning more about this registry as it moves forward, please fill out the contact information below.

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