UCRH ECHO Idea Form

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UCRH ECHO Idea Form

The Utah Center for Rural Health highly values the input of those we serve, we firmly believe in the idea of "Nothing about us, without us!" We invite you to take a few minutes to provide information on your ideas for future ECHO training you feel would benefit your community. Your participation and ideas are critical to helping us best serve you!

Thank you so much for your time and input!

Name *

Email *

Phone number *

Can you tell us a little about yourself including where you are from, your educational background, and your current work role. *

Please share in as much detail as you can your idea for a potential ECHO educational series. *

What population would the ECHO be geared toward? *

May we contact you with follow up questions about your idea? *

Yes

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