20-21 NEO HCC Workgroup, Training, and Information Sharing Survey

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* 1. Your Name

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* 2. Facility or Organization you represent

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* 3. Email Address

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* 4. Are you interested in joining any of the following NEO HCC Workgroups (Check all that apply)

Access & Functional Needs

Training & Exercise

Public Information

Executive Committee

I don't have time to participate in a workgroup at this time

I am already on a workgroup/workgroups

Please list workgroups the that you are a member of:

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* 5. Please rate the following trainings in order of those you are most interested in learning about during the training portion of our HCC Meetings (Rate #1 through #10, please limit your limit selections to 10 choices, rank most interested to least interested)

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* 6. Are there any other training topics not listed above that you would like to learn more about at HCC meetings?

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* 7. Do you find the Bi-Weekly Healthcare Updates a useful resource in performing your day-to-day responsibilities?

Yes

No

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