Pre-AMC2013 Survey

Welcome AMCers!

This short survey will only take 10 - 20 minutes of your time. Your input on this survey will help make AMC2013 the most useful and transformative experience possible. Data from this survey will be shared at the AMC2013 coordinators meeting Jan. 18-20 in Detroit and will inform the content-development process between now and June. Thank you for your time and wisdom!

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* 1. Name

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* 2. Email

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* 3. Do you have an AMPTalk account?

Yes

If yes, what is your username?

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* 4. Phone

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* 5. Community/Organizational Affiliations

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* 6. Can we use quotes from your survey in public materials about the AMC?

Yes and you can use my name

Yes but I would like to be anonymous

Yes but ask my permission regarding the specific quote

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