BE ENTERED FOR A CHANCE TO WIN A $100 AMAZON.COM GIFT CARD! If you'd like to be entered to win, simply enter your name and email below and complete the survey. IMPORTANT: Your survey responses will be kept strictly confidential. Entering the sweepstakes and your contact information is OPTIONAL. We appreciate your participation in our survey!

1.OPTIONAL: Please enter your name and phone number if you would like to be entered to win a $100 Amazon.com gift card!

First Name

Last Name

Email

2.Which of the following most accurately reflects the setting in which you work?(Required.)

Hospital

Long-term care facility

Ambulatory care office

K-12 school

College of other institution of higher learning

Not currently working

Retired

Other (please specify)

3.How many years have you been a nurse?(Required.)

0-5

6-20

21+

4.What is your age?(Required.)

20-30

31-40

41-50

51+

5.Which of the following best describes your position
(Required.)

Frontline nurse

Management

Executive

Faculty

Other (please specify)