Please take moment and complete the survey so we can better by mikesanye

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									Please take a moment and complete the survey so we can better serve you as a KEYPOCC
member. Surveys may be returned via email to dearnest@piinnaclehealth.org or faxed to Dawn
Earnest at 717-231-8964.

1. Of the 4 meetings in the last year, how many did you attend?

       0       1       2       3       4

2. Would you like to attend more meetings?

       Yes             No              NA

3. If you were unable to attend the meetings, check the reason(s) why:

       Staffing issues/too busy

       Meeting date/time

       Meeting location

       Topic not of interest

       Other _______________

4. What topics are of interest to you? (Please list)




5. If meeting location is an issue, identify alternate meeting locations. (Please list)




6. Are there any areas where KEYPOCC can improve? (Please list)




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