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EMS Health and Safety Survey
9.
Basic Information
20%
**The information in this survey will be used internally only and your personal information will not be distributed.
*
1.
Please provide the following information:
(Required.)
Name:
County (Required):
*
Email Address:
Phone Number:
*
2.
How many years have you been an EMT or Paramedic?
(Required.)
0-3 years
3-6 years
6-9 years
>9 years