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Job Placement Survey

First name*

Last name*

Email*

How much do you make an hour?*

Does your job offer benefits? Select all that apply*

Health Insurance

Paid Time-off

Paid Sick time

401k / Retirement plans

Dental Insurance

Are you currently working as a Nursing Assistant?*

Yes

No

Are you currently working as a Phlebotomy?*

Yes

No

Are you currently working as a Home Health Aide *

Yes

No

Did you gain employment using the certificate you received from Healthcare-Edu, LLC*

Yes

No

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