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* 1. Practice name?

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* 2. Main contact name?

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* 3. Tax ID #?

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* 4. Please select the Webinar you viewed in full. (please select only one)

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* 5. How informative did you find our Webinar?

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* 6. Please rate the content of the slides.

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* 7. What percentage of this information was new to you?

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* 8. Is there any additional information related to the subject matter you would have liked included? If so, please list.

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* 9. Are there any other quality improvement or management topics you would be interested in learning more information on?

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* 10. Do you have any other comments or feedback?

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