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* 1. How are you affiliated with CHA? Select all that apply.

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* 2. From 2017 to present, did you attend any HCV workshops, webinars or events?

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* 3. On a scale from 1 to 5, rate your interest in the following education topics and event ideas:

  1 - Completely Uninterested 2 3 - Neutral 4 5 - Very Interested
Lectures on CHA policies and procedures
Tutorials on how to use online CHA account management systems and/or submit forms, requests, etc.
Panel discussions answering frequently asked questions about CHA
Lectures from external subject matter experts
Panel discussions with external subject matter experts
Demonstration sessions with external subject matter experts
Resource fairs with CHA programs
Resource fairs with community, city and non-profit partners
Networking events

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* 4. On a weekday, when are you able to attend ONLINE events? Select all that apply.

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* 5. On a weekday, when are you able to attend IN-PERSON events? Select all that apply.

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* 6. Additional suggestions and comments:

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* 7. If you would like more information about participating in a focus group discussing HCV education and events, please provide your contact information below:

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