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* 1. Please enter your full name, organization, and title. This information will not be shared (internal FPTC use).

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* 2. Please describe your experience in attending the webinar. Please choose the best multiple choice response, and you can add optional comments below (put "N/A" in the box if you don't wish to add anything).

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* 3. For those who intend to stay in touch with FPTC, tell us what you want to know more about and/or how you might contribute to future dialogues. If you have grievances to air we want to hear those too, but please use the Q2 comment box for that purpose. This question is about our future together, as a learning community that includes you and your organization. You can write as much or as little as you want, we will be reading and considering every comment no matter how long or short. Nothing to say, type N/A.

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* 4. Can we add you to our email list? We expect to communicate about once a month. You will be able to remove yourself from the list at any time (click unsubscribe at the bottom of any message and you will be immediately removed). If yes, please carefully enter your email address in the text box. Thank you for attending the webinar!

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