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* 1. First Name (optional):

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* 2. Last Name (optional):

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* 3. What should be NANOS’s focus when addressing equity, diversity, and inclusion issues for patient care and within NANOS and medicine at large? Please provide specific examples.

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* 4. How can we create a more equitable and inclusive NANOS? Please provide specific examples.

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* 5. What are some specific ways that NANOS can promote neuro-ophthalmology as a career to underrepresented trainees that it is not already doing?

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* 6. Other comments:

Thank you for your willingness to contribute to the success of NANOS and our diversity, equity and inclusion efforts!

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