Health Profession Survey

1. How many years have you worked in the immunization field?  
Less than 1 Year
1-3 Years
3-5 Years
More than 5 years
2. Are you a ...?  
Registered Nurse (R.N.)
Licensed Practical Nurse (L.P.N.)
Nurse Practitioner (N.P.)
Medical Assistant (M.A. C.M.A. R.M.A)
None of the above
3. Are you a ...?  
Doctor of Osteopathy (D.O.)
Medical Doctor (M.D.)
Physician Assistant (P.A.)
None of the above
4. Which of the following best describes your current work setting?  
Private Sector
Local health department
State health department
5. Which of the following best describes your workplace?  
Private Sector
Pediatrics office (private practice)
Family practice office (private practice)
Public health administration
Public health clinic staff
None of the above
6. Do you work in a hospital?  
Yes
No
7. Have you ever attended the Regional Immunization Conferences in the past?  
Yes
No
8. Does your office participate in the Vaccines for Children (VFC) program?  
Yes
No