Occupational Medicine
Occupational Health Nursing
Industial Hygiene
Occupational Safety
Physical/Occupational Therapy
Management or Supervision
Labor Representative
Other (use comments box)

Private Industry
Federal Government
State Government
Local Government
Insurance
Academic Institution
Union
Other (use comments box)

How do you usually hear about continuing education classes? (Check as many as apply)

Brochure or Flyer in the Mail
Colleagues or Supervisor
Internet or Email

Professional Society
Professional Journal Ad
Other (Use comments box)

Comments and Questions

How much time can you take off from work for a continuing professional education class? (Choose one)

Less than one day
One day
Two days
Three days
Five days

What months are best for you to get away for a class? (Check up to three)

January
February
March
April
May
June

July
August
September
October
November
December

What days of the week are best for you to attend a class? (Check up to three)

Monday
Tuesday
Wednesday

Thursday
Friday
Saturday

Does your employer currently pay for professional continuing education?

Yes
No

*IF YES - How many classes per year?

One
Two
Three
As many as needed

Please look over the health and safety topics below and check any that you would be very likely to attend.

Americans with Disabilities Act
Asbestos
Back Injury Prevention-Treatment
Bioaerosols-Biohazards
Biol & Chemical Agents Update
Bloodborne Pathogens
Clinical/Lab Safety
Confined Space
Dermatitis
Disability Issues
Electrical Safety
Electromagnetic Fields
Emergency Response Update
Epidemiology & Biostatistics
Ergonomics
Fall Prevention Management
Business Skills-Financial Mgmt
Hazardous Waste-40 Hour
Hazardous Waste-24 Hour
Hazardous Waste-8 Hr Refresher
Hearing Certification
Indoor Air Quality
Industrial Hygiene Fundamentals
Infectious Diseases
Injury Epidemiology
Laser Safety

Lead Abatement-Exposure
Legal Issues in OSH
Legionnaires' Disease
Loss Control
Medical Monitoring
Mold
Occ Health Nursing Fundamentals
Occ Respiratory Disease
Office Safety & Health
Older Workers
OSHA Recordkeeping
Radiation-Ionizing/Non-ionizing
Reproductive Hazards
Respiratory Protection
Risk Assessment&Communication
Safety Fundamentals
Spirometry
Spirometry Refresher
Statistics
Stress in the Workplace
Toxicology
Tuberculosis
Ventilation
Vibration
Violence in the Workplace
Workers' Compensation

Professional Review Courses:

Occupational Health Nursing Certification Review
Comprehensive Review of Industrial Hygiene
Occupational Physician Certification Review
Certified Safety Professional Review
Qualified Medical Evaluator Exam Review