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Amputee Specialty Program Support Group Questionnaire

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Good Shepherd Penn Partners Online Support Group Survey

Thank you for taking the time to complete this survey! Your feedback is very helpful in ensuring an online support group that meets your needs.

1

Are you still interested in participating in an online support group?

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2

What days and times work best for you to participate in an online group? (Select all that apply)

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3

What topics would you like the support group to focus on? (Select all that apply)

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4

How comfortable are you using technology for an online group?

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5

Do you have access to a device (e.g., tablet, computer) that you can easily use to join online sessions?

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6

What is your experience using "Microsoft Teams" to log into the meeting?

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7

If you are interested in participating, please provide your preferred way of contact (receiving reminders/ group meeting information):

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