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
 

 
 
 
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.