We look forward to your participation in the CTC Asthma Essentials ECHO. In preparation, please answer the following questions about how you currently perceive your abilities.
 
Please answer only the questions that apply to your practice, organization or site. If questions are not applicable to you, please write “N/A.”
 
Please note, if there are multiple team members in your practice participating in Asthma Essentials ECHO, each team member must complete this survey even if they are not attending each session.

Each team member is asked to complete this survey. Answer only the questions that apply to your practice, organization or site, If questions are not applicable, please write "N/A). Each team member will be asked to complete a post survey at the end of the ECHO series

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* 1. Your Name (first and last)

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* 2. What is your title or clinical role?

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* 3. What organization are you currently working in?

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* 4. How long have you worked in the clinic or organization where you currently work?

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* 5. Currently, how many patients with asthma do you care for?

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* 6. Currently, how many patients with asthma are patients you have managed and for whom you have prescribed medicine or other therapies?

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