Proton pump inhibitors self-assessment

Question Title

* 1. Select your province/territory of residence

Canada: Alberta

Canada: British Columbia

Canada: Newfoundland and Labrador

Canada: Northwest Territories

Canada: Nova Scotia

Canada: Nunavut

Canada: Ontario

Canada: Prince Edward Island

Canada: Quebec

Canada: Saskatchewan

Canada: Yukon

Australia

United Kingdom

United States of America

Other (please specify)

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* 2. Years since I obtained my last professional degree:

Less than 5 years

5 - 9

10 - 14

15 - 19

20 - 24

25 years or more

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* 3. Age:

Under 34

35 - 44

45 - 54

55 - 64

65 and older

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* 4. Sex:

Male

Female

Question Title

* 5. Professional practice setting

Primary care / Community

Acute care hospital

Rehab or long-term care setting

Academic

Other (please specify)

Question Title

* 6. Profession:

Primary care physician

Specialist physician

Nurse practitioner

Nurse

Pharmacist

Other allied health professional

Health care administrator

Academic / researcher

Student

Other (please specify)