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* 1. What's your organization's name?

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* 2. What size is your organization?

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* 3. What Kipu products are you currently using? Select all that apply.

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* 4. Describe how you've used Kipu in an innovative way to improve the way your organization functions and delivers care. Please be specific.

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* 5. What problem, challenge or opportunity were you addressing when you implemented the innovation?

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* 6. What were the specific, measurable outcomes you achieved as part of that innovation?

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* 7. Please enter your email so we can follow up.

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