50%
Questions marked with an
*
are required
Exit Survey
*
First name:
*
Last name:
*
City:
*
State:
*
Email address:
*
Are you interested in full-time, part-time, or PRN opportunities?
*
Why do you want to work with VMS BioMarketing?
Current Employer 1
Responsibilities
Current Employer 2
Responsibilities
Current Employer 3
Responsibilities
*
1. Select all credentials that apply.
AACRN
AAHIVM
AAHIVS
AAN
AANS
ABAI
ABCIM
ABIM
ABP
ABPN
ACBME
ACRN
ACSM
ANCC
AOBIM
ARDMS
ARNP
ASO
ASOA
BC-ADM
BCSON
CAC
CAQH
CBIC
CCRN
CCT
CDC
CDE
CIC
CIC.CRC
COC
CPC
CPRP
CRAT
CRNA
CRNI
CUC
FNP-BC
GCPP
IAHRS
ICF
MSCN
NADDA
NAF
NCCDP
NCCIH
NCCIH.BCSON
NCEA
NCRBC
NCRCB
NOBI
NP
NPI
OCN
ONCC
PA
PharmD
RD
RDN (Registered dietitian nutritionist)
R.Ph.
RCCS
RCES
RCIS.RVS
RN
S.C.A.C.
SAA
SEEN
SIR
Other, please specify
2. Please select all languages in which you are able to conduct a program.
Arabic
English
Chinese
French
German
Italian
Japanese
Russian
Spanish
Vietnamese
Other, please specify
3. How many years of experience do you have in the healthcare field?
0-2 years
3-5 years
6-10 years
11-15 years
16+ years
4. Please list any honors or special recognitions.
5. If you have been published, please list the publications below.
6. What professional memberships do you hold?
7. List any previous or current association leadership positions you have held.
8. Please select the following disease states in which you have experience (within the past five years):
Acne
ADD/ADHD
AIDS
Allergies
Alopecia
Alzheimer's
Anemia
Ankylosing spondylitis
Asperger's
Asthma
Autism
Bipolar disorder
Cancer (See below to list types)
Celiac disease
CIrrhosis
Congestive heart failure
COPD/emphysema
Coronary artery disease
Crohn's
Depression
Diabetes
Diverticulosis
Dyslexia
Eating disorders
Endometriosis
Epilepsy
Erectile dysfunction
Gall stones
Glomerulonephritis
Hemophilia
Hepatitis C
Herpes
Hiatal hernia
HIV
Hypercholesterolemia
Hypertension
Hypothyroidism
Infertility
Kidney stones
Leukemia
Lupus
Lymphoma
Menopause
Mesothelioma
Migraine
Mononucleosis
Multiple sclerosis
Muscular dystrophy
Multifocal motor neuropathy
OCD
Osteoarthritis
Osteoporosis
Psoriatic arthritis
Chronic pain
Parkinson's
Polycystic ovary syndrome
Primary immunodeficiency
Psoriasis
Chronic renal insufficiency
Rheumatoid arthritis
Reflux
Schizophrenia
Stroke
Ulcerative colitis
Other
Types of Cancer:
9. Please select the settings in which you have worked as an educator and/or clinician:
Inpatient/hospital
Primary care practice
Specialist physician practice
Academic institution
Diabetes private practice
Integrated health system
Accountable care organization
Retail pharmacy
Specialty pharmacy
Home health
Patient homes
Other
10. Do you have recent injection experience?
Yes
No
Please note that this survey is meant to
supplement
a formal job application. If you see an open position that you feel would be a good fit for your background, please apply in addition to filling out this survey. If there are no open positions that are of interest, please complete this survey and keep an eye on our LinkedIn and website for future opportunities.
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