#JHMChat Feedback Form

Share Your Feedback!

Thank you for your interest in SHM's and our partners' Twitter chats with the Journal of Hospital Medicine. We encourage you to provide us with your feedback on chats, topics, your experience etc. Please fill out this quick form to help us continue to improve our #JHMChats.

= Required Field

Your First Name

Last Name

Last Name

Title/Role Physician NP/PA Resident/Student Practice Administrator C-Suite Other

Other Title/Role - Please Specify

E-mail Address

Twitter Handle

Are you a member?

-- Select an option -- Yes No

How did you hear about it? Attended previous #JHMChat Email Social posts Websites (SHM, JHM, etc.) Word of mouth Other

Other? Please Specify

Why are you joining?

What else would you like to see on JHMChat?

Word verification Refresh captcha

Submit