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* 1. Have you or a family member received care at Vail Health (formerly Vail
Valley Medical Center) within the past 3 years?

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* 2. If yes, where have you received care in/at?

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* 3. Please tell us a little bit about yourself including any life experiences that would influence your contributions as a council member.

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* 4. Why would you like to be a member of the Patient and Family Advisory
Council?

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* 5. What organizations or committees have you been involved with in the past
(work, civic, school, church, charitable, etc.)? Please tell us a little bit about any of those experiences.

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* 6. What are some specific things that health care professionals did or said that were most helpful to you and your family during any of your experiences with us?

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* 7. What are some specific things that you or your family member might you like to see changed at our organization?

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* 8. What is your contact information?

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* 9. Should you become a member of Vail Health's Patient and Family Advisory
Council (PFAC), will you allow us to share your contact information with other PFAC members?

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