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Regional Quality Council Orientation Survey Questions

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* 1. Please enter your first and last name

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* 3. Please enter the most accurate response below:

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* 4. Please use the space below to indicate any specific information you may need to participate in the Regional Quality Council meetings. 

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* 5. Please use the space below to indicate any accommodations you may need to participate in the Regional Quality Council meetings. The assigned Quality Improvement Specialist will contact you if more information is needed.

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* 6. Please use this space for any feedback about the orientation presentation or materials.

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