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* 1. In 20 words or less, complete this sentence, I am a member of SAHM because....

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* 2. I started in adolescent health because....

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* 3. How long have you practiced in adolescent health?

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* 4. Your Name and Organization

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* 5. Could we use your response, name and/or organization in SAHM communications to help spread the word about SAHM?

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