NCCAOM Safe Chinese Herbal Compounding & Dispensing Practices Survey

As a key stakeholder for the safe practice of traditional Chinese herbal medicine (TCHM) compounding and dispensing, you are invited to provide the NCCAOM with your input on the following questions:

1.Please check what stakeholder category applies to you (check all that apply)

Acupuncturist practicing Chinese herbal medicine

Federal agency representative

State regulatory board representative

National organization board member

Hospital or other healthcare organization representative

2.Based on the stakeholder category, or categories, you selected in Question 1, please provide the type, name, or title below.

Type of primary practice setting (e.g., solo, wellness clinic, hospital, etc. )

Name of federal agency

Title of the acupuncture state regulatory board representative

Title of the national organization for which you are a board member

Title of the hospital or other healthcare organization representative

Other (please indicate)

3.Competency verification of safe compounding and dispensing of Chinese herbal prescriptions is needed for acupuncturists practicing Chinese herbal medicine.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

If you disagree or strongly disagree, please explain

4.The white paper - Guidance: Best TCHM Compounding and Dispensing Practices covers the information needed for the content of a certificate program.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

If you disagree or strongly disagree, please explain

5.If such a certificate program in safe compounding and dispensing of Chinese herbal prescriptions were developed, I would support NCCAOM offering the program.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

If you disagree or strongly disagree, please explain

6.Please provide any additional comments or suggestions:

7.Please provide your email if you wish to receive a copy of the survey results

Thank you for participating in the TCHM Safe Compounding and Dispensing Practices Survey.

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