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Please type responses here: |
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First name:
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Last name:
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Email Address:
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Retype Email Address:
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Phone number:
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Company Name:
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Job title:
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Business/Facility Address:
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Business/Facility Address 2:
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City:
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State:
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Country:
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Zip/Postal Code:
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Do you work in a:
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Physician Office Lab
Independent Office Lab
National Lab
Acute Care Hospital
Other
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If you answered ‘other’ in the question above, please elaborate:
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Is your facility interested in learning more about rapid biomarker testing?
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Yes
No
Not sure
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How familiar are you with the Beta Natriuretic Peptide (BNP) Testing for heart failure?
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Very familiar
Somewhat familiar
Not familiar at all
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How many BNP tests does your facility conduct per month?
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