Exit this survey Domestic Violence Webinar (Pre-Test) 1. Default Section Question Title * 1. Please complete the following information for Continuing Medical Education (CME) purposes. No information will be shared with parties outside the ISMA. Name: Practice or Organization: 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 ZIP: Email Address: Phone Number: Question Title * 2. Domestic violence is not a medical problem. True False Question Title * 3. Domestic violence is an adult medicine problem. True False Question Title * 4. The injured party often has done something to bring about the violence. True False Question Title * 5. I do not need to screen for domestic violence in my patient population. True False Question Title * 6. I will offend my patients by asking about abuse. True False Question Title * 7. Domestic violence screening will take too much time. True False Question Title * 8. There are no available domestic violence resources in my practice area. True False Done