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* 1. Your name

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* 2. Your department

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* 3. How long have you worked at Fitzgibbon Hospital?

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* 4. What ideas do you have for what can be included in our time capsule to be opened 100 years from now?

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* 5. Why do you believe is it important to have Fitzgibbon Hospital in our community?

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* 6. If you are so inclined, what is your "Fitzgibbon Hospital story" or your most memorable encounter with a patient (remember to protect patient privacy)?

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* 7. Can we use your responses for upcoming publications about our 100-year anniversary?

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