Exit this survey Southwest Telehealth Resource Center At the completion of this survey you will recieve a username and password to access the videos Question Title * 1. What is your role in telehealth/telemedicine (check all that apply)? Clinical (MD/DO) Clinical (DDS/DMD) Clinical (RN/LPN/CNM) Clinical (RT/PT/OT) Clinical (PA) Clinical (PhD) Program Director CEO CFO CIO Business Manager Administrator IT Network Engineer Training Site Coordinator Technical Coordinator Education Quality/Legal & Regulatory Research Marketing Other (please specify) Question Title * 2. What type of healthcare organization do you work in? For-Profit Hospital Not-For-Profit Hospital University Hospital Community Health Center Managed Care Organization Physician Group Practice Health Clinic Health Maintenance Organization Federal (IHS, VA, DOD) Other (please specify) Question Title * 3. Where are you located? Arizona Colorado Nevada New Mexico Utah Other Question Title * 4. Please provide the following Name: * Company: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address: * Phone Number: Next