33% of survey complete.

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* 1. What is the name of your Chapter? (Please enter the full name of the university or organization.)

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* 2. In which region is your Chapter?

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* 3. Please tell us 1-3 things your Chapter has done or accomplished during the past year:

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* 4. Please list 1-3 goals your Chapter would like to work toward in the coming year:

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* 5. What additional support can the IHI Open School team or your Regional Leader provide you and your Chapter to achieve your goals? (Check all that apply)

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* 6. Please provide any additional questions, comments or suggestions you have.

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* 7. If you would like to share additional information about your Chapter with us, please feel free to continue to the second (and final) page of the survey. If not, we appreciate your time and look forward to supporting you in the coming year!

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