JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Post-Elective Demographics Information
This information is to help us understand who is accessing this curriculum and how we can improve/broaden it based on our audience!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Where are you located? (City, State, Country)
Your answer
What is your profession (physician, nurse, social work, etc)
Your answer
What level of training are you in?
Undergraduate
Graduate / Professional School
Post-graduate (residency/internship)
Practicing (no longer in training)
Other:
Clear selection
Why did you take this course?
Your answer
Are you receiving academic credit for this course?
Yes
No
Maybe
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
