Webinar Recording Form:

Upcoming Respiratory Season:
An Update
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  Please type responses here:
First name:
Last name:
Email Address:
Retype Email Address:
Phone number:
Institution:
Title:
Address:
City:
State:
Country:
Zip/Postal Code:
At what type of laboratory are you currently employed? Hospital
Reference
Academic
Physician Office
Other
If you chose 'Other' above, please describe the type of laboratory at which are you currently employed:
My credentials (i.e., MD, RN, PHD, etc.): Please fill in the blank:
I practice/work in: (select all that apply) 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
Other area of clinical care
Operations/Practice Management
Other
How do you rate the effectiveness of your respiratory testing and diagnosis capabilities? Very effective
Effective
Average
Not very effective
Very ineffective
How often do you adjust respiratory testing ordering patterns throughout the season? Frequently
Regularly
Rarely
Never
Choose the top three factors that impact the seasonal respiratory testing solutions you utilize: Turnaround time
Ease of use
CLIA status
Clinical performance
Clinician preference
Multiplex option
Availability
Cost of reagents
Staffing
Reimbursement
Brand/Manufacturer
Other
By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events. Yes, I consent to give my information to receive communication regarding this webinar
By registering for this webinar, the information you provide will be shared with the webinar’s sponsors 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.