viii We would greatly appreciate it if you would complete and return this brief questionnaire. It will help us in our work, as we continue to develop guides to assist you in your practice. Your work setting: ________ Agriculture ________ College/university ________ Communications ________ Federal government ________ State government ________ Local government ________ Hospital ________ Insurance ________ Manufacturing ________ Transportation ________ Self-employed ________ Other Visits per day to OH unit: ____________ Visits per year to OH unit: ____________ Occupational health _____ % Primary care _____ % Prenatal _____ % Health promotion _____ % Other _____ % Health care providers: Nurse practitioners _____ OHNs _____ Physicians _____ Industrial hygienists _____ Safety Specialists _____ Other _____ What types of guidelines would be of value to you? Please list: ______________________ ______________________________________________________________________________ Your name and address (optional): _______________________________________________ ____________________________________________________________________________ Please return this sheet to: Bonnie Rogers, DrPH, COHN-S, LNCC, FAAN, FAAOHN University of North Carolina NC OSHERC and Occupational Health Nursing Program 1700 Airport Rd, CB #7502 Chapel Hill, NC 27599-7502 Email: rogersb@email.unc.edu Fax: 919-966-8999 A Request to Our Colleagues
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