Your email

Your Phone

Are you concerned about manual ventilation performance within your agency/department/service?
YesNo

If yes, what are your concerns? (optional)

What type of agency/service/department best describes who you work for (check all that apply)?
Pre-Hospital (First Responder, Fire Department, EMS System)HospitalProfessional Education/Training

What is your role within your department/service?

How many manual resuscitators do you use monthly?