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* 1. Date of the event

Date

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* 2. Overall, how satisfied were you with the meeting/event?

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* 3. What was the most valuable aspect of this meeting/event for you?

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* 4. How likely are you to attend future meetings/event hosted by the Health Planning Council of Southwest Florida?

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* 5. What could be improved about future meetings/events?

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* 6. Do you have any other comments or suggestions?

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* 7. Name

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* 8. Agency Name