Focus Group Registration Follow-Up Form

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Thank you for registering for End of Life Choices New York's focus group. The purpose of this group is to explore the end of life experiences in Black New York communities through conversations with Black New Yorkers who work within these communities. The information gathered will inform the development of policies, programs, and resources to help improve the end of life experiences of Black New Yorkers.

Full name *

Organization *

Title *

Email address *

Please briefly describe your work and the populations you serve through your work. *

Feel free to add any other comments or information here.

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