Chaplains' Electronic Communication with Patients

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1. Gender and Age:

Gender and Age:   Female Male 20-29

30-39 40-49 50-59

60-69 70-79 greater than 79

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2. Member Category:

Member Category:   Member Board Certified Chaplain Certified CPE Supervisory Candidate Certified Associate CPE Supervisor Certified CPE Supervisor

Missionary Retired Inactive Board Certified Chaplain Inactive CPE Supervisor Emeritus

Associate Ministry Volunteer Student

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3. How long have you been a chaplain?

How long have you been a chaplain?   less than 1 year 1-5 years 6-10 years 11-15 years 16-20 years more than 20 years

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4. In what type of setting do you work and how long have you worked in this setting?

In what type of setting do you work and how long have you worked in this setting?   hospital hospice long-term setting urban agency	less than 1 year 1-5 years 6-10 years 11-15 years	16-20 years more than 20 years
Other (please specify)