KSHA Medical-Based SLP Survey Demographic Information Question Title * 1. What is your primary practice setting? Acute care hospital Inpatient rehabilitation Outpatient clinic Skilled nursing facility (SNF) Home health Private practice Other (please specify) Question Title * 2. How many years have you been practicing as an SLP? 0-5 6-10 11-15 16-20 21+ Question Title * 3. What is your highest degree obtained? Master's (MA/MS) Clinical Doctorate (e.g. SLPD) PhD or EdD Other (please specify) Question Title * 4. Do you hold your ASHA Certificate of Clinical Competence (CCC)? Yes No Question Title * 5. Do you hold a state license to practice in Kentucky? Yes No Question Title * 6. Are you a member of KSHA? Yes No Question Title * 7. Are you working full-time, part-time, PRN, or contract? (Select all that apply) Full-time Part-time PRN Contract Next
