Thank you for taking the time to register for the LIFT-ECHO clinic. Completing this survey will automatically add you to our Zoom Meeting invite list.

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* 1. What is your full name?

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* 2. What is your email address?

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* 3. Participating in our sessions requires Zoom Conferencing software, which can easily be downloaded onto your phone, computer or tablet from the Zoom website. Would you like additional information on how to install and use Zoom?

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* 4. What is your title or clinical role?

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* 5. What institution(s) are you affiliated with? If none, write "N/A"

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* 6. Questions or comments?

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