NASHVILLE, TN: Healthcare Professionals

Healthcare Professionals: Would you be interested in assisting a local company in designing a product to better meet your needs while on the job? If so, please answer the few questions below and we will be in touch with you via phone. If you qualify and participate, you will receive $500+ for your time and opinions. Remember, we are not selling anything!

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* 1. What is your gender?

Male

Female

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* 2. What is your age?

Under 21

21-28

29-34

35-49

50-54

55-60

61+

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* 3. Which of the following best describes your position in Healthcare?

CNA/LPN/LVN/RN (or similar)

EMT/Paramedic (or similar)

Therapist such as Respiratory / Physical / Occupational (or similar)

Orderly / Patient Transfer (or similar)

Technologists such as Radiologic, Surgical (or similar)

Dental Hygienist (or similar)

Other (please specify)

None of the above

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* 4. What is your ethnicity?

Caucasian/White

Black/African American

Hispanic/Latino

Asian

Other

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* 5. Please provide your contact info so we may reach you via phone

NAME

EMAIL ADDRESS

CITY

PHONE #