Registration - Online Training for the Reconstitution of Fosun/BioNTech COVID-19 Vaccine
First Name (in English):
Last Name (in English):
Email:
Password:
Please answer a few questions below about your practice background to help us improve the quality of future training materials.
Gender
M
F
Discipline
Doctor
Pharmacist
Nurse
Dispenser
Others (please specify)
Current Student:
Year of study:
OR
Years since graduation:
Years of practice experience:
Main practice setting
Hospital
Community
Industry
Education
Research
Others (please specify)
Registration Number:
Previous practical training on vaccination/reconstitution
Yes
No
Previous laboratory work experience
Yes
No
Before watching and completing this training:
How would you rate your confidence in diluting the Fosun/BioNTech vaccine correctly?
(1 = Not confident, 10 = Very confident)
Not confident
1
2
3
4
5
6
7
8
9
10
Very confident
Do you feel it is necessary to read the drug product information to correctly dilute the Fosun/BioNTech vaccine?
Yes
No
I understand that the deidentified data may be used for research related to teaching and learning to improve the quality of training materials.
Please tick ✔ the above box if you understand that the deidentified data may be used for research related to teaching and learning to improve the quality of training materials.
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