Focus Group Survey CASPR Group 2019 APIC Focus Group Thank you for your interest in joining our Focus Group at APIC 2019 in Philadelphia from 6a-7:45a on Wednesday, June 12, 2019. Breakfast and $125 Visa Gift Cards will be supplied to all 12 participants. Our goal is to create a diverse panel of participants. Please answer a few questions so we can best qualify candidates. The complete questionnaire will take less than 3 minutes.Name* First Last Email Address* Phone Number* Which of the following best describes your credentials? (Select all that apply)* APIC Member Bachelor’s Degree CIC Master's Degree FSHEA FAPIC Title*For how many years have you held your current position?*0-2 Years3+ Years What is the size of your location/campus?*0-149150-299300-499500+Which of the following best describes your hospital?*Acute-Care Community Hospital, Teaching or Non-TeachingAcademic Medical CenterGovernment, VA or Military institutionPediatric or Children’s HospitalSpecialty HospitalPlease select one of the following Specialty Hospitals:*OrthopedicRehabLong-TermOncologyDoes your hospital have a product evaluation committee that meets regularly to review new products?*YesNoDo you attend these committees, as a regular sitting member?*Yes, I am a memberNo
