Thank you for your interest in the National Center for Equitable Care for Elders webinar, The Importance of Social Connection for Older Adults during COVID-19. This webinar is open to all and will take place on Tuesday, November 17th, 2020, 1:00-2:00PM, EST. Register for the webinar below.

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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. If you'll be calling in during the webinar session, what phone number will you be using?

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* 4. What is the name of your organization?

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* 5. What is your position?

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* 6. How did you hear about this learning collaborative?

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* 7. Why did you register for this webinar?

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* 8. What do you plan to do with the information you learn from this webinar?

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* 9. How ready are you to implement the information from this webinar at your organization?

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* 10. What percentage of your organization's patient population are older adults aged 65 and older?

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