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* 1. Name

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* 4. What best describes your role? (Check all that apply)

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* 5. Have you attended the Health Action Conference in the past?

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* 6. What were the top wins in your health care-focused advocacy work this year?

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* 7. What's one challenge you're facing in your work that HAC 2026 could help address?

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* 8. What health policy or advocacy topics are you most interested in seeing covered during the 2026 conference?

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* 9. Are there specific speakers, leaders, or organizations you'd like to hear from during HAC 2026?

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* 10. What coverage reform issues are you planning to prioritize most in 2026? (Please select up to 3)

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* 11. Which consumer protection issues are you planning to prioritize most in 2026? (Please select up to 3)

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* 12. What affordability & value issues are you planning to prioritize most in 2026? (Please select up to 3)

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* 13. What Health Equity issues are you planning to prioritize most in 2026? (Please select up to 3)

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* 14. What would make this conference a must-attend event for you?

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* 15. Is there anything else you'd like us to consider as we plan?

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