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1. What types of events would you like to attend?

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2. What topics would you most like to learn about at NEAHQ programs? Please rank in order of preference.

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3. Are there other topics you would like to learn about at NEAHQ programs?

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4. What days/times do you prefer for attending programs?

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5. Are you interested in attending in-person events?

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6. Are you interested in speaking or presenting a poster at a NEAHQ program?

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7. If yes, please provide your name and contact information

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8. What do you hope to obtain from NEAHQ membership?

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