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* 1. Please provide your contact details.

If you are not comfortable sharing your details, please fill in your role and n/a for rest.

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* 2. What is your practice type? (i.e. family practice in FHT, community palliative care specialist, etc.)

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* 5. What, in your opinion, is the single biggest gap/risk or opportunity that needs to be addressed going forward for your practice to succeed through the pandemic?

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