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* 1. Please provide your name.

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* 2. What is your position/title?

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* 3. What organization do you work for?

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* 4. Please provide your email address.

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* 5. What inspired you to work in healthcare?

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* 6. What’s your favorite aspect of GI/endoscopy?

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* 7. What motivated you to get involved in the Infection Prevention Champions Program?

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* 8. Outside of your career, have you been personally affected by GI/endoscopy? Any story you are willing to share?

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* 9. Are you a SGNA Member?

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* 10. If you are a SGNA Member, when did you join?

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