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* 1. As part of the workshop, short presentations of 1-2 case studies where multidisciplinary research has been key to gaining a comprehensive understanding are planned. In your opinion, which of the issues below are good examples of exposures that have benefited from considering research findings across varied disciplines (for example, molecular and basic research, toxicology, clinical practice, epidemiology).  [Check up to 4]

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* 2. Which of the issues below are good examples of emerging issues/exposures with research gaps that would benefit from a collaborative effort between disciplines?  [Check up to 4]

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* 3. Do you work for an agency or organization that funds teratological, toxicological, or developmental research by others? [Check one]

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* 4. If YES to question 3: What is the name of the agency or organization?

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* 5. If YES to question 3: What research topics related to emerging issues or exposures are their top priorities?  [List up to 5]

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* 6. Are you currently planning to attend this workshop?  4:35-6:00 pm ET on Tuesday, June 26, at the Teratology Society 58th Annual Meeting in Clearwater, FL.  (This will help with planning logistics.)  [Check one]

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* 7. Is there anything else you would like the planners to consider?

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