Name:
STABLE ID:
Email:

I allowed my instructor status to expire because:
I am no longer involved in teaching
I dislike the program
I am too busy to teach
Other:

I feel this program has made a difference in my region (e.g. improved pre-transport stabilization care by birth hospital caregivers) in the following way(s):
Yes, I agree this program has made a difference in my region
No, I do not agree this program has made a difference in my region

Please feel free to elaborate on both Yes or No answers in the space below


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