2021_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.

Question Title

* 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

Question Title

* 2. Please indicate which organization you work for:

Question Title

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

Question Title

* 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.

Question Title

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

Yes

No (not eligible for contact hours)