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Telemedicine Survey
Demographic
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* Indicates required question
Email
*
Your email
Please provide your name
*
Your answer
What is Your Age Range?
*
18-24
25-30
31-40
41-50
51-60
61-70
71 and above
Required
Location
*
United States
Canada
Africa
Asia
Europe
Central America
South America
Pacific
Other:
Required
Occupation
*
Ministry Non-medical
Business Non-medical
Student
MD/DO
PA/APN
Nurse
PT/OT
Pharmacist
Optometrist
Chiropractor
Other:
Required
Mission Experience, Cross-Cultural
Career Medical
Long-term Medical (2 to 5 yrs)
Short-term Medical
Career Non-medical
Long-term Non-medical (2 to 5 yrs)
Short-term Non-medical
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