Arizona Dialogue Observer Survey

Please take a moment to complete this survey!

Thank you for attending the Arizona Dialogue. Please spend a few minutes providing us with some feedback. Thank you!

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* 1. As a result of observing this Arizona Dialogue, do you have a greater understanding of racial disparities in healthcare and the impact?

Yes

No

What understandings have you gained?

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* 2. As a result of observing this Arizona Dialogue, do you have ideas of how you might act differently on the subject of disparity in the future?

Yes

No

Can you share how you might act differently?

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* 3. As a result of observing this Arizona Dialogue, what areas do you see having potential to change to improve healthcare for those impacted by racial disparity?

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* 4. As a result of observing this Arizona Dialogue, do you have future Arizona Dialogues topics that can enhance the understanding gained in this Dialogue?

Yes

No

List topic ideas:

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* 5. As a result of observing this Arizona Dialogue, do you have any changes in perspective that you would want to share with others?

Yes

No

What are those changes?

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* 6. As a result of observing this Arizona Dialogue, do you have an interest in participating in future Arizona Dialogues on other topics?

Yes

No

Why or why not?

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* 7. As a result of observing this Arizona Dialogue, do you see value in inviting others to future Arizona Dialogues?

Yes

No

Why or Why Not?

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* 8. As a result of observing this Arizona Dialogue, do you see value in future Arizona Dialogues as an instrument of change to our integrated system of care?

Yes

No

Why or why not?