The next Summit on Health Equity will take place in spring 2021. Please help us create a successful event by providing your input.

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* 1. Assuming that the state public health order is lifted, would you prefer a virtual event, in-person event, or hybrid event?

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* 2. Which areas of health equity are you most interested in being addressed at the 2021 Summit on Health Equity? (check all that apply)

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* 3. As we plan the 2021 Summit on Health Equity, we are looking for ways to integrate opportunities for connection, engagement, and discussion. Which of the following would you be most interested in? (check all that apply)

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* 4. Are there any speakers/presenters that you would recommend for the 2021 Summit on Health Equity (or future Summits)?

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* 5. Are you interested in receiving Continuing Education Credits for the 2021 Summit on Health Equity?

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* 6. If the 2021 Summit on Health Equity is an online/virtual event, is there anything else that you like to see included in the event?

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* 7. If the 2021 Summit on Health Equity is an in-person event, is there anything else that you like to see included in the event?

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* 8. If you would like to be entered into a random drawing for a $50 Amazon Gift Card, please provide your name and email address here.

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* 9. Are you interested in serving on the 2021 Summit on Health Equity Planning Team? If so, please include your name, email, and phone number so that we may contact you.

Thank you for your input!

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