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Long Covid Survey

Basic Information

2. Current position:
3. Is your position:
4. Certification/Licensure that you have (Check all that apply):
5. The majority of my caseload is:
7. The geographic area where I live is best described as:
8. Do you currently describe yourself as (Check all that apply):
9. Which of the following best represents how you think of yourself:
 
10. My race/ethnicity: 
11. My highest level of education is:
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