2018_HS: Pulmonary System Review

1. Please answer the following questions about you:

This survey functions as the post-test and evaluation for the TCHP Pulmonary System Review home study. You must complete all the required questions, including those on the evaluation, to be eligible for contact hours.

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* 1. Please let us know a little bit about you. Starred items are required.

*First and Last Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

*Email Address:
(use work email if from a TCHP Organization)

Phone

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* 2. Please indicate which organization you work for:

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* 3. Please indicate your unit or work area. If you are not currently working, enter "not working."

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* 4. Please select the situation listed below that best describes you.

I am a nurse and do not have a special certification.

I am a nurse with a special certification such as a CCRN, PCCN, etc.

I am not a nurse.

If you are not a nurse, please specify your profession.

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* 5. I verify that I have read this home study.

Yes

No (not eligible for contact hours)