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Please Take our Education Survey

Thank you for taking a moment out of your busy schedule to complete this survey. Your response will help us create educational activities that meet your needs.

Please indicate your degree(s) – check all that apply:
 MD  RN
 DO  NP
 PhD  PA/PA-C
 PharmD  RT
 MSN  Other(s): 

Please indicate your age range:
 20-34  55-64
 35-54  Over 65

Please enter your zip code: 

Please indicate your specialty:
 Allergy and Clinical Immunology
 Anesthesiology
 Cardiology
 Critical Care
 Dermatology
 Diabetes and Endocrinology
 Gastroenterology
 General Surgery
 Geriatrics
 Hematology-Oncology
 HIV/AIDS
 Infectious Diseases
 Nephrology
 Neurology and Neurosurgery
 Nuclear Medicine
 Nursing
 Ob/Gyn and Women’s Health
 Occupational/Rehabilitation/Sports Medicine
 Oncology
 Opthalmology
 Orthopedics
 Pain Management
 Palliative Care
 Pathology
 Pediatrics
 Pharmacy
 Primary Care/Family Medicine/Internal Medicine
 Psychiatry/Mental Health
 Public Health
 Pulmonary Medicine
 Radiology
 Rheumatology
 Urology
 Other: 

Where do you practice:
 In private/group practice  University/teaching hospital
 Pharmacy  Other

Practice Region:
 Urban  Suburban  Rural

Preferred learning format(s) – check all that apply:
 Live national meeting  Live regional meeting
 Live local meeting  CD-ROM
 Web casts or web conferences  Teleconferences
 Enduring materials (monographs)  Other 

What are the 3 most pressing issues in your practice today?


What are 3 immediate or ongoing learning needs?





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