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* 1. What type of organization best describes your primary affiliation?

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* 2. Which best describes your organization?

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* 3. In which state or territory is your primary organization located?

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* 4. How long have you been involved in EMS?

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* 5. What is your age?

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* 6. What is your highest level of clinical certification or licensure?

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* 7. Which format(s) does your primary EMS organization use for its patient care reports?

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* 8. If your primary EMS organization uses an electronic patient care reporting software program or application, which one is it?

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* 9. What level(s) of service does your primary EMS organization provide (check all that apply)?

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* 10. Which types of services does your primary EMS organization provide? (check all that apply):

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* 11. What is your highest level of education completed?

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* 12. Which best describes your primary role in EMS?

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