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name:
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facility:
facility address:
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state/zip:
What's your profession?
What's your focus or specialty?
1) What is your educational background? Do you have any certifications?
2) What motivated you to enter this profession?
3) Do you work for a large/small facility? What is the major focus of your facility? Do they educate/inform? Does your facility offer any special services? (If so what are they?)
4) When and how did you start at this facility?
5) Typically, what are your day-to-day responsibilities at your facility?
6) What type of patients/diagnoses do you encounter most frequently?
7) Are there other areas of interest for you as a healthcare professional, either clinically or educationally, that you plan to pursue?
8) What are the greatest challenges you face in your job?
9) What do you like most about your job? What do you dislike most?
10) Are you currently involved with any research projects? Are there any projects that you would like to be involved with?
11) Do you feel that the role of a healthcare professional in your field/specialty has changed over recent years? If so, how?
12) What do you feel is of the greatest concern to your profession today?
13) What is the most rewarding part of your job?
14) What is the most important thing you’ve learned over the course of your career?
15) What advice do you have for others thinking of entering your profession/specialty?
16) How has working in this specialty allowed you to grow professionally?
17) If there is anything that you feel is important and/or interesting that has not been covered in this questionnaire, please feel free to include the information.

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Speech/Language Therapist
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