2 Demographics Intro

2 Demographics Intro.docx

Survey of Eligible Users of the National Practitioner Databank

2 Demographics Intro

OMB: 0915-0366

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OMB Number: 0915-0366; Expiration date: XX/XX/202X


Self-Queriers Survey: Module 2

Number of questions: 1


Demographic Information


We are collecting demographic information so that we can learn more about our survey participants.


Q 2.1. In what capacity did you self-query the NPDB?


On My Own Behalf as an Individual Health Care Practitioner

On My Own Behalf as an Individual Health Care Provider, or Supplier

On Behalf of an Organization (Health Care Provider, Supplier, or Entity)


Piping logic:


Depending on the participant’s response above, survey will be directed to the next module as described below (see further details in the survey flowchart):


On My Own Behalf as an Individual Health Care Practitioner Module 3

On My Own Behalf as an Individual Health Care Provider, or Supplier Module 3

On Behalf of an Organization (Health Care Provider, Supplier, or Entity) Module 12


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