Thank you in advance for completing this short survey on your organization's interest in partnering with FORCE! This survey should take about 15 minutes to complete.

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* 1. Organization details

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* 2. Is there anything that you would like to share with us about your interest or ability to partner with FORCE?

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* 3. What is your geographic focus?

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* 4. Is your organization designated as a nonprofit organization? (please provide details below)

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* 5. Does your organization focus mainly on a particular disease or condition? (Please select one that best describe your organization and provide details below.)

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