CCANO Focus Group Sign Up

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* 1. Please share your first and last name.

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* 2. Please share the best email at which to reach you.

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* 3. Please share the best phone number at which to reach you.

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* 4. What is your preferred mode of communication?

Phone Call

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No preference

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* 5. Will you be able to join a focus group via Zoom?

I have a laptop or device from which I can attend a focus group on Zoom.

I will need CCANO to set up and provide a laptop or device so I can attend a focus group on Zoom.

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* 6. Do you have any questions or concerns?

Thank you for signing up to participate in one of our focus groups. We will be reaching out shortly via your preferred mode of communication. We look forward to gathering your insights to help us inform the Strategic Planning process.