Sewell Reviewer Profile Forms

1. Reviewer Information

Question Title

* 1. What is your first name?

Question Title

* 2. Last name?

Question Title

* 3. Title?

Question Title

* 4. Department?

Question Title

* 5. Institution?

Question Title

* 6. Degree?

Question Title

* 7. Anticipated degree and date (if degree is in progress)?

Question Title

* 8. Today's date?

Question Title

* 9. Project you are reviewing?

Question Title

* 10. Are you a:

Professional/Practitioner

Educator

Professional/Practitioner and Educator

Other (please specify)

Question Title

* 11. Work address?

Question Title

* 12. Work email?

Question Title

* 13. Phone number?

Question Title

* 14. Home address?

Question Title

* 15. Home email?

Question Title

* 16. Phone number?

Question Title

* 17. Which is your preferred mailing address?

Work

Home

Question Title

* 18. May we credit you as a reviewer when/if the text publishes?

Yes

Question Title

* 19. May we quote remarks from your review?

Yes, using my full name

Yes, using my initials only

No, thank you

Question Title

* 20. Would you like to be considered for future reviews?

Yes

Question Title

* 21. Educators, please provide information on the courses you teach - Course Title(s):

Question Title

* 22. Educators, please provide the ANNUAL ENROLLMENT for each course you teach:

Question Title

* 23. Educators, please provide the CURRENT TEXTBOOK in use for each course you teach:

Question Title

* 24. If applicable, would you consider adding an informatics text to your issues and trends course?

Yes

No (please explain why not)

Question Title

* 25. Areas of specialty or research interest?

Question Title

* 26. Are you interested in writing a health science textbook, reference, or related publication, or reviewing works in progress? If so, please indicate your area of interest below. We''d love to work with you!

Question Title

* 27. What text/reference/review books have been particularly helpful to you?

Question Title

* 28. Do you require/recommend a dictionary to your students? If so, which?

Yes, recommend

Yes, require

Title of dictionary

Question Title

* 1. What is your first name?

Question Title

* 2. Last name?

Question Title

* 3. Title?

Question Title

* 4. Department?

Question Title

* 5. Institution?

Question Title

* 6. Degree?

Question Title

* 7. Anticipated degree and date (if degree is in progress)?

Question Title

* 8. Today's date?

Question Title

* 9. Project you are reviewing?

Question Title

* 10. Are you a:

Question Title

* 11. Work address?

Question Title

* 12. Work email?

Question Title

* 13. Phone number?

Question Title

* 14. Home address?

Question Title

* 15. Home email?

Question Title

* 16. Phone number?

Question Title

* 17. Which is your preferred mailing address?

Question Title

* 18. May we credit you as a reviewer when/if the text publishes?

Question Title

* 19. May we quote remarks from your review?

Question Title

* 20. Would you like to be considered for future reviews?

Question Title

* 21. Educators, please provide information on the courses you teach - Course Title(s):

Question Title

* 22. Educators, please provide the ANNUAL ENROLLMENT for each course you teach:

Question Title

* 23. Educators, please provide the CURRENT TEXTBOOK in use for each course you teach:

Question Title

* 24. If applicable, would you consider adding an informatics text to your issues and trends course?

Question Title

* 25. Areas of specialty or research interest?

Question Title

* 26. Are you interested in writing a health science textbook, reference, or related publication, or reviewing works in progress? If so, please indicate your area of interest below. We''d love to work with you!

Question Title

* 27. What text/reference/review books have been particularly helpful to you?

Question Title

* 28. Do you require/recommend a dictionary to your students? If so, which?

Question Title

* 29. If you can recommend a reviewer, please provide area of interest and email address.