Out-Of-Pocket: The Audience
A few questions will help me out a lot - I'll use the de-identified version of this info to make a nice deck for sponsors showing the kinds of people that read the newsletter (without specifics)

**by filling out this form, you're cool with me adding you to the Out-Of-Pocket list serve if you're not already on it
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First Name
Last Name
Email (that's used for the newsletter)
Employer?
Which part of healthcare is your employer (or your department specifically) in?
Clear selection
How big is your company approximately?
Clear selection
What department do you work in?
Clear selection
What's your seniority level?
Clear selection
Prediction for 2021? (optional)
Do you want your name attached to that prediction if I use it? (optional)
Clear selection
Submit
Clear form
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