1 Page 1 2 Preview 3 Complete Page 1 of 3 (0%) Completion of this survey will help us to address your individual needs and interests.Your response is sincerely appreciated but participation is optional. Help Us Help You Enhance Your Compounding Practice! Please choose your profession: Pharmacist Physician What is your position in the pharmacy? Owner Manager Pharmacist Technician Other What is your position in the pharmacy? Other Are you opening a pharmacy? Yes No Planned launch date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 How long have you been compounding? <1 year 1-3 years 3-5 years >5 years How many compounds do you prepare daily? <10 scripts 10-30 scripts 30-50 scripts >50 scripts Are you currently subscribed to a support service for your formulary and technical compounding needs? Yes No Do you currently have Standard Operating Procedures? Yes No Which of the following areas do you currently practice? Not currently compounding Non-sterile compounding Sterile compounding Adrenal function Dental care Dermatology Hospice care Inhalation therapy Men’s health Naturopathy Ophthalmics & otics Pain management Pediatric care Podiatric care Sexual function Sports medicine Thyroid function Veterinary Women’s health Other Which of the following areas do you currently practice? Other Does your pharmacy currently compound with hazardous drugs as per the National Institute for Occupational Safety and Health (NIOSH) list of Antineoplastic and Other Hazardous Drugs in Healthcare Settings? Yes No Unsure Which type of compounding facility do you currently practice in? Traditional compounder (503A) Outsourcing facility (503B) Unsure N/A For which of the following do you want to receive additional information? The Science of Pharmaceutical Compounding: Non-sterile Training Essential Elements of Compounded Sterile Preparations Essential Elements of Prescription Analgesic Compounding Essential Elements of Prescription Hormone Compounding Business Ready: Marketing and Sales for the Successful Compounding Pharmacist Advanced Non-sterile Compounding Essential Elements of Hazardous Drug Compounding Preparing for a State Board of Pharmacy Compounding Practice Inspection The Science of Pharmaceutical Compounding: Technician Training eLearning – Non-sterile compounding eLearning – Sterile compounding Webinar schedule Other For which of the following do you want to receive additional information? Other How did you hear about this activity? - None -Sales representativeEmail blastWebsiteTradeshowWord of mouthOther How did you hear about this activity? Other Which of the following areas do you currently practice? Adrenal function Dental care Dermatology Hospice care Inhalation therapy Men’s health Naturopathy Ophthalmics & otics Pain management Pediatric care Podiatric care Sexual function Sports medicine Thyroid function Veterinary Women’s health Other Which of the following areas do you currently practice? Other Do you currently prescribe compounded medications? Yes No How many compounds do you prescribe daily? <10 scripts 10-30 scripts 30-50 scripts >50 scripts For which of the following do you want to receive additional information? Seminar - Essential Elements of Prescription Analgesic Compounding: Learn about the various compounding solutions that can be offered to avoid the use of narcotics or drugs with substantial side effects. Also, discover the benefits of individualized medication such that painful conditions can be managed in a fashion tailored to the individual needs of each patient. Seminar - Essential Elements of Prescription Hormone Compounding: Learn about compounding solutions that allow the prescribed treatment to be completely customized based on the patient’s hormone levels, symptoms, and health concerns. Webinar – What Compounding Can Do For You: Learn about how compounding solutions will benefit patients in the following niche therapeutic areas: pain management, dermatology, pediatrics, geriatrics, and hormone replacement therapy. Brochure on pediatric compounding solutions (applicable to Canadian physicians only) Brochure on geriatric compounding solutions (applicable to Canadian physicians only) Brochure on pain management compounding solutions (applicable to Canadian physicians only) Brochure on hormone therapy compounding solutions (applicable to Canadian physicians only) Brochure on dematological compounding solutions (applicable to Canadian physicians only) Other For which of the following do you want to receive additional information? Other Thank you for taking the time to complete this surveyWe will keep this information on record in order to best serve your professional and business development-related service needs. LP3 Network and its affiliates will keep the information collected through this survey confidential.Please click the "Preview" button below to review the survey before submitting. Leave this field blank
