Please fill out the demographic and feedback information so you can continue to print out your certificate of completion awarded by the Utah Department of Health and Human Services Asthma Program.

The certificate of completion may take a few moments to download. Please fill in your name and the date it was completed and then give or email a copy to your school nurse.

We appreciate your cooperation in filling out this information so we can continue to improve and also track the stock albuterol training throughout the state.

The information gathered in this survey is confidential and will be kept private.

We will only use this information for evaluation purposes and no identifiable information will be shared.

Thank you!