Data Collection Time Study

Data Collection time study

10 Questions

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First Name

Last Name

What is your ASHA membership number? (If you aren't a member of ASHA, just type "none" and use one of the alternative forms of identification below.)

What is your license/certification number and issuing state/organization?

Are you a Clinical Fellow? If yes, please type your supervisor's name and ASHA membership number.

Are you a graduate student? If yes, please type your University name and expected graduation date.

By typing your name below, you attest to the following statement: I hereby certify that I have spent the required time to study this course material and that I have personally completed each module/session of instruction.