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* 1. How long have you been a member of FSP?

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* 2. How many chapter events do you attend per year, including local presentation of VTCs and social events?

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* 3. How many in-person National events do you attend per year? (i.e. Arizona Institute, Forum/Clinic)

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* 4. How many virtual/on-line National education programs do you participate in per year? (i.e. Audio-Web Conferences, Lunch/Brunch Conversations, On-Line CE, etc.)

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* 5. Gender?

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* 6. Age Group?

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* 7. Geographical location of your practice?

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* 8. Describe your position:

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* 9. If you are in the field or client-facing, please describe you channel affiliation:

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* 10. Ethnicity?

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* 11. Please share your thoughts on how FSP may outreach to diverse new member prospects

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* 12. Name / email address (Optional)

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