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* 1. First Name

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* 2. Last Name

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* 3. Credentials

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* 4. Current Role/Position Title and Location (Ex: Chief CRNA at ABC Hospital System )

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* 5. Email

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* 6. How long have you been attending ADCE?

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* 7. What's the main reason you attended this year’s ADCE?

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* 8. What did you like most about this year's ADCE?

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* 9. What would you tell a CRNA or SRNA who may be considering attending ADCE in the future? 

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* 10. Please share a photo of yourself that we can use on the AANA website or social media. This can be a professional headshot, a selfie, or any photos from ADCE!

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