You do not have to identify yourself to fill out this survey.
It could help us keep you informed about HIT job opportunities.

1. Name

2. Address

3. Email Address

4. Cell Phone Number

5. I am

6. Do you have a degree?

7. My career experience is in:
(check all that apply)

8. Choose which statement describes you better:

9. You have just discovered you need specific training and a certificate program to become marketable in HIT. You would be willing to take the training:
(check all that apply)