continuing education NAMSS CE Quiz: The Intersection of Credentialing and Peer Review Instructions: Make a photocopy of this form – DO NOT REMOVE THE PAGE from the magazine so that others also may use it to obtain CE credit. Print your name and address in the form below. This form will be mailed back to you to use as your CE credit certificate. DEADLINE TO SUBMIT YOUR QUIZ FOR CREDIT IS OCTOBER 2014. Take this quiz online and receive your results immediately! Click the SYNERGY Quizzes link in the Headlines section of www.namss.org. Name: Facility: Address: City/State/ZIP: Title: Business Phone: Signature: Date: Answers Place an “X” in the box next to the correct answer. True/False 1. a. ❑ b. ❑ 6. a. ❑ b. ❑ 2. a. ❑ b. ❑ 7. a. ❑ b. ❑ 3. a. ❑ b. ❑ 8. a. ❑ b. ❑ 4. a. ❑ b. ❑ 9. a. ❑ b. ❑ 5. a. ❑ b. ❑ 10. a. ❑ b. ❑ For NAMSS Executive Office Use Only Score: Payment Information ❑ Processing Fee: $15 members OR $25 non-members ❑ ou have passed this quiz and earned one (1) Y Category I CE clock hour. ❑ heck Payment: Enclosed is a check or money order payable to NAMSS C (DO NOT SEND CASH). Check No.: Date: ❑ ou scored below 80% and DO NOT earn Y CE credit. Amount: $ Check one: ❑ Facility Check ❑ Personal Check NOTE: No record will be kept at NAMSS of this quiz. Keep this form as evidence of completion. 30 / SYNERGY September/OctO ber 2013 ❑ Credit Card Payment: Contact NAMSS headqusters at info@namss.org or 202/307-1195.http://www.namss.org