|
|
Please type responses here: |
|
First name:
|
|
|
Last name:
|
|
|
Email Address:
|
|
|
Retype Email Address:
|
|
|
Work phone:
|
|
|
Company name:
|
|
|
Job title:
|
|
|
Address:
|
|
|
City:
|
|
|
State:
|
|
|
Country:
|
|
|
Zip/Postal Code:
|
|
|
At what type of laboratory are you currently employed?
|
Hospital
Reference
Academic
Physician Office
Other
I do not work in a laboratory
|
|
If you chose 'Other' above, please describe the type of laboratory at which you are currently employed:
|
|
|
My credentials (i.e., MD, RN, PHD, etc.): Please fill in the blank:
|
|
|
I practice/work in: (select all that apply)
|
Laboratory
Emergency
Hospital
Urgent Care
Primary Care
Pharmacy
Specialized clinic
Long-term Care/Nursing home
Other clinical setting
Medical Distributor/Manufacturer/Supplier (If selected, please skip to the following question)
Non-clinical setting
Other
|
|
I specialize in: (select all that apply)
|
Pediatrics
Family Medicine/Internal Medicine
Emergency Medicine
Urgent Care
Student/Resident
Administration
Pharmacy
Clinical Acute Laboratory
Clinical Non-acute Laboratory
Operations/Practice Management
Other Business Professionals
|
|
Which primary clinical application of cardiac biomarkers do you use most in your work?
|
Troponin for myocardial infarction detection
Natriuretic peptides for heart failure diagnosis
Both troponin and natriuretic peptides
I don't currently use them
|
|
How do you currently collaborate with clinical teams in the interpretation and application of cardiac biomarkers?
|
Regularly and effectively
Occasionally, with room for improvement
Rarely or not at all
Not applicable to my role
|
|
By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events. For a link to our privacy policy, which may be pertinent if you are based outside the United States, we encourage you to visit: https://www.whitehatcom.com/privacy_policy.htm
|
Yes, I give my permission to receive communications from Whitehat, and I understand I may opt out at any time
|
|
By registering for this webinar, the information you provide will be shared with the webinar’s sponsor to provide you with information on products and services that may be of interest to you:
|
Yes, I consent to receiving marketing communication from this webinar’s sponsors following the webinar
No, thank you
|
After clicking 'submit',
you will be redirected to the webinar recording.
You will also
receive an email with the link to the evaluation to fill out
after you finish the recording. |
|
|
