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* 1. Name

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* 2. Email address

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* 3. How likely are you to join a Open MIC?

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* 4. THINKMD has brainstormed a couple of topics for future Open MICs. Please indicate which ones you would be interested in:

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* 5. Do you have any other ideas you would like to see discussed at an Open MIC?

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* 6. Would you like to emcee or speak at an upcoming Open MIC?

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* 7. How do you envision the knowledge exchanged on this platform being utilized to drive change in global health?

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* 8. Where would you like to see the Open MIC promoted?

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