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Afghanistan
Ã…land Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (the Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
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Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Occupational Information
Profession/Discipline Category
Choose...
Allied Health - Audiology
Allied Health - Certified Nursing Assistant
Allied Health - Community Health Worker
Allied Health - Dental Assistant
Allied Health - Dental Hygiene
Allied Health - Dental Hygiene/Public Health
Allied Health - Dental Therapy
Allied Health - EMT/Paramedic
Allied Health - Home Health Aide
Allied Health - Medical Assistant
Allied Health - Midwife (non-nurse)
Allied Health - Nurse Assistant/Patient Care Associate
Allied Health - Nutritionist/Dietician
Allied Health - Occupational Therapy
Allied Health - Optometry
Allied Health - Pharmacy
Allied Health - Pharmacy Aide/Technician
Allied Health - Phlebotomy Technician
Allied Health - Physical Therapy
Allied Health - Physical Therapy Assistant
Allied Health - Radiological Technician
Allied Health - Rehabilitation Therapy
Allied Health - Respiratory Therapy
Allied Health - Speech Pathology/Therapy
Behavioral Health - Addictions Counseling
Behavioral Health - Clinical Mental Health Counseling
Behavioral Health - Clinical Psychology
Behavioral Health - Clinical Social Work
Behavioral Health - Counseling Psychology
Behavioral Health - Marriage and Family Therapy
Behavioral Health - Pastoral/Spiritual Care
Behavioral Health - School Counseling
Behavioral Health - School Psychology
Behavioral Health - School Social Work
Dentistry - Advanced General Dentistry
Dentistry - Dental Anesthesiology
Dentistry - Dental Public Health
Dentistry - Endodontics
Dentistry - General Dentistry
Dentistry - Oral and Maxillofacial Pathology
Dentistry - Oral and Maxillofacial Radiology
Dentistry - Oral and Maxillofacial Surgery
Dentistry - Oral Medicine
Dentistry - Orofacial Pain
Dentistry - Orthodontics and Dentofacial Orthopedics
Dentistry - Pediatric
Dentistry - Periodontics
Dentistry - Prosthodontics
Medicine - Aerospace Medicine
Medicine - Allergy and Immunology
Medicine - Anesthesiology
Medicine - Colon and Rectal Surgery
Medicine - Dermatology
Medicine - Diagnostic Radiology
Medicine - Emergency Medicine
Medicine - Family Medicine
Medicine - General Surgery
Medicine - Geriatric Medicine
Medicine - Geriatric Psychiatry
Medicine - Integrative Medicine
Medicine - Internal Medicine
Medicine - Internal Medicine/Family Medicine
Medicine - Internal Medicine/Pediatrics
Medicine - Medical Genetics
Medicine - Medical Oncology
Medicine - Neurological Surgery
Medicine - Neurology
Medicine - Nuclear Medicine
Medicine - Obstetrics and Gynecology
Medicine - Ophthalmology
Medicine - Orthopaedic Surgery
Medicine - Otolaryngology
Medicine - Palliative Care
Medicine - Pathology
Medicine - Pediatrics
Medicine - Physical Medicine and Rehabilitation
Medicine - Plastic Surgery
Medicine - Preventive Medicine
Medicine - Preventive Medicine/Aerospace Medicine
Medicine - Preventive Medicine/Family Medicine
Medicine - Preventive Medicine/Internal Medicine
Medicine - Preventive Medicine/Occupational Medicine
Medicine - Preventive Medicine/Pediatrics
Medicine - Preventive Medicine/Public Health
Medicine - Preventive Medicine/Sports Medicine
Medicine - Psychiatry
Medicine - Radiation Oncology
Medicine - Thoracic Surgery
Medicine - Urology
Medicine - Vascular Surgery
Nursing - Advanced Practice Nursing
Nursing - Aggregate/Systems/Organizational
Nursing - Alternative/Complementary
Nursing - Clinical Nurse Leader (CNL)
Nursing - Clinical Nurse Specialist (CNS)
Nursing - Community Health Nursing
Nursing - Forensics
Nursing - Licensed Practical/Vocational Nurse (LPN/LVN)
Nursing - Nurse Administrator
Nursing - Nurse Anesthetist
Nursing - Nurse Educator
Nursing - Nurse Midwife
Nursing - Nurse Practitioner (NP)
Nursing - Nursing Informatics
Nursing - Public Health Nurse
Nursing - Registered Nurse (RN)
Nursing - Researcher/Scientist
Paraprofessional - Behavioral Health Technician/Aide
Paraprofessional - Discipline/Specialty Not Listed
Paraprofessional - Mental Health Worker
Paraprofessional - Outreach Worker
Paraprofessional - Peer Paraprofessional
Paraprofessional - Promotora
Paraprofessional - Recovery Coach
Paraprofessional - Social Services Aide
Paraprofessional - Substance Use/Addictions Worker
Paraprofessional - Youth Worker
Public Health - Biostatistics
Public Health - Community Health
Public Health - Disaster Preparedness
Public Health - Disease Prevention/Health Promotion
Public Health - Environmental Health
Public Health - Epidemiology
Public Health - Global Health
Public Health - Health Administration
Public Health - Health Communication
Public Health - Health Education
Public Health - Health Policy/Management
Public Health - Infectious Disease Control
Public Health - Injury Control/Prevention
Public Health - Maternal/Child Health
Public Health - Nutrition
Public Health - Social/Behavioral Sciences
Physician Assistant - Physician Assistant
Student
Other - Chiropractic
Other - Direct Service Worker
Other - Doula
Other - Exercise Physiology
Other - Facility Administrator
Other - Firefighter
Other - Health Informatics/Information Technology
Other - Law Enforcement
Other - Lay/Family Caregiver
Other - Medical Laboratory Sciences
Other - Office/Support Staff
Other - Podiatry
Other - Profession Not Listed
Other - Veterinary Medicine
Position Title (optional)
Are you currently employed?
Choose...
Yes
No
Organization Name (optional)
Organization Country
Choose...
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Organization Address (optional)
Organization City
Organization State/Territory
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Marianas Islands
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Organization Zip Code/Postal Code
Do you work in a primary care setting?
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No
Do you work in a medically underserved community (MUC)?
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No
Do you work in a rural area?
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No
CHES/MCHES Number
Pharmacy (NABP ePID)
Demographic Information
Race
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American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander,
White
Prefer not to provide
Gender
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Male
Female
Other
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Year of Birth
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2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
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2011
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2008
2007
2006
2005
2004
2003
2002
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2000
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1998
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1990
1989
1988
1987
1986
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1981
1980
1979
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1967
1966
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1963
1962
1961
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1958
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1954
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1950
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1941
1940
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1935
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1931
1930
1929
1928
1927
1926
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1911
1910
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