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* 1. Which of the following best describes you?

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* 2. What issue of the Heartland Headlines-Patient Newsletter are you responding about? (For example, 2021/Issue 1)

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* 3. Please mark the answer that applies best.

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The information provided in the newsletter is helpful.
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I would recommend this newsletter to another patient or family member.

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* 4. Please rate this issue of the Heartland Headlines from 1 to 5 Stars

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* 5. Please share any additional comments and/or topics you would like to see in the next issue.

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* 6. What is the best way to give you information?

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