First Name*
Last Name*
Title
Company*
Address
Email*
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Drug and Alcohol Testing
Are you performing drug and alcohol testing or offering it to clients?
Yes
No
If so, what testing methodologies do you use/offer?
Urine
Hair
Oral Fluid
Other
How many tests do you perform per year?
Do you or your clients utilize lab-based testing or point-of-care/rapid testing?
Lab-based
POC
Both
Neither
If a mix of both, please indiedate what percentage of the time one is used vs the other.
% Lab-based
% POC
Do you or your clients utilize collection sites?
Yes
No
Do you or your clients test for tobacco or have a wellness program that could benefit from a tobacco test?
Yes
No