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HIT Survey for Job Seekers
You do not have to identify yourself to fill out this survey.
It could help us keep you informed about HIT job opportunities.
1
. Name
Name
2
. Address
Address
Street Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
3
. Email Address
Email Address
4
. Cell Phone Number
Cell Phone Number
5
. I am
I am
currently employed
not employed
If employed, what is your job?
6
. Do you have a degree?
Do you have a degree?
Yes
No
If yes, what is your degree in?
7
. My career experience is in:
(check all that apply)
My career experience is in: (check all that apply)
Information Technology
Healthcare administration (Office manager, records, etc.)Healthcare delivery (Nurse, PA, technician, etc.)
Healthcare delivery (Nurse, PA, technician, etc)
Project management
I don’t have any – I just graduated
Other
If you chose other, please specify
8
. Choose which statement describes you better:
Choose which statement describes you better:
I know what I need to do to become marketable in the health information technology (HIT) field.
I don’t have a clue about what I need to do to become marketable in HIT.
If you indicated you know what you need to do to become marketable, what do you think you need to do?
9
. You have just discovered you need specific training and a certificate program to become marketable in HIT. You would be willing to take the training:
(check all that apply)
You have just discovered you need specific training and a certificate program to become marketable in HIT. You would be willing to take the training: (check all that apply)
Nights only
Weekends only
Nights and Weekends
During a Maymester (The period of time from when a spring college semester ends to just before a summer college semester begins)
During a Wintermester (The period of time from when a fall semester ends to before a spring semester begins)
Other
If you chose other, please specify
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