CPR (Cardiopulmonary Resuscitation) Practice Test

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Learning how to become a CPR instructor in 2026 means stepping into one of the most rewarding side careers in healthcare education, with most candidates completing certification in 6 to 12 weeks and earning between $30 and $75 per hour teaching community classes, corporate workplaces, schools, and healthcare facilities. The pathway combines clinical competence, an active provider-level CPR card, a structured instructor course from a nationally recognized training agency, and a monitored teach-out where a Training Center Faculty member observes you running a real class from start to finish.

Becoming an instructor is not the same as passing a basic CPR class โ€” it requires mastery of skills you already possess plus the ability to break those skills down into teachable, measurable competencies for adult learners. You must know the difference between a heart attack vs cardiac arrest, recognize agonal breathing, understand compression-to-ventilation ratios for every age group, and explain the acls algorithm clearly enough that a nervous first-time student leaves the room confident.

The instructor role exists because the chain of survival depends on bystanders who act fast. Every year roughly 350,000 out-of-hospital cardiac arrests occur in the United States, and survival rates double or triple when a trained bystander begins compressions before EMS arrives. Instructors are the multiplier in that equation โ€” every class of ten students you certify represents ten more potential rescuers in restaurants, gyms, daycare centers, and family kitchens across your community.

This guide walks you through every step: prerequisite certifications, choosing between the American Heart Association, American Red Cross, and the national cpr foundation, instructor course content, costs, the monitored teach-out, equipment investment, building a client base, and ongoing continuing education. We'll cover both employed instructors who teach for hospitals or training centers and independent contractors who run their own businesses out of converted garages or rented community rooms.

You do not need to be a doctor, nurse, or paramedic to become a CPR instructor. Teachers, fitness professionals, lifeguards, firefighters, daycare directors, security officers, and even motivated laypeople with strong people skills regularly complete instructor training. What matters most is your ability to follow a scripted curriculum, demonstrate skills flawlessly on a manikin, and create a low-anxiety learning environment where students feel safe practicing chest compressions in front of strangers.

Expect to invest between $300 and $800 upfront for your instructor course, plus $1,500 to $4,000 for manikins, AED trainers, barrier devices, and printed materials if you plan to teach independently. Most active instructors recoup that investment within three to six months of regular teaching. The market is steady, demand is rising due to state-mandated school CPR laws now in effect across 38 states, and instructor turnover creates constant openings at established training centers.

By the end of this guide you'll know exactly which agency to align with, how to structure your first six months, what equipment to buy first, and how to price your classes competitively while still earning a sustainable hourly rate. Let's start with the numbers that shape the profession.

CPR Instructor Career by the Numbers

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$30-$75
Hourly Teaching Rate
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6-12 wks
Time to Certification
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$300-$800
Instructor Course Cost
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2 yrs
Certification Renewal
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4-6
Classes per Renewal
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38
States Mandating School CPR
Test Your Skills: How to Become a CPR Instructor Quiz

Your 12-Week Roadmap to Becoming a CPR Instructor

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Complete or renew a current BLS Provider or Heartsaver-level CPR card from the agency you intend to teach for. Your provider card must be issued within the last two years and reflect the current guidelines cycle. Bring the original card to your instructor course.

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Research American Heart Association, American Red Cross, and National CPR Foundation. Compare costs, market acceptance in your area, and required teach-out frequency. Contact a local Training Center to align before you enroll. Alignment is mandatory before instructor certification activates.

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Complete the online Instructor Essentials course covering adult learning theory, debriefing, manikin operation, and skills testing. Expect 6 to 9 hours of self-paced modules followed by a knowledge check. Print your completion certificate to bring to the hands-on session.

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Attend the one-day discipline-specific instructor course taught by a Training Center Faculty member. Practice teaching segments, run skills stations, and demonstrate compressions, ventilations, and AED use to instructor standards. Receive feedback and a provisional instructor status.

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Co-teach or solo-teach your first official class while a Training Center Faculty member observes. They evaluate your scripting, time management, skills demonstration, remediation technique, and paperwork. Pass the monitored teach-out to receive your full instructor card.

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Schedule your first paying classes through your Training Center or independently. Order roster cards, e-cards, or completion certificates per your agency's process. Track every class for renewal compliance and begin building reviews and referrals for sustainable client flow.

Before you spend a dollar on instructor training, confirm you meet the prerequisites. Every major agency requires a current provider-level certification in the discipline you want to teach โ€” BLS Provider if you plan to teach healthcare classes, Heartsaver if you'll focus on lay rescuer audiences, or both if you want maximum flexibility. The card must be current on the day of your instructor course, not just current when you registered, so renew early if yours expires within 90 days.

Age requirements are typically 16 or 18 depending on agency and discipline, though most Training Centers prefer instructors who are at least 18 for liability and contracting reasons. You do not need a clinical license, a teaching degree, or prior public speaking experience. What you do need is comfort handling manikins, the ability to kneel and demonstrate compressions for 60 to 90 seconds, and the patience to remediate a student who keeps locking their elbows or pumping at 80 compressions per minute when the metronome calls for 110.

Background checks are required by many Training Centers, especially those that contract with school districts or healthcare systems. A clean record is not always mandatory, but felonies involving violence, fraud, or crimes against children typically disqualify candidates from teaching in K-12 or pediatric settings. If you have a record, disclose it early โ€” some Training Centers will still align with you for adult-only classes.

You will also need basic technology comfort. Modern instructor courses include online prerequisites, electronic rosters, e-card issuance through agency portals, and digital skills tracking. If you cannot navigate a Learning Management System, upload a PDF, or run a Zoom call for blended classes, the role will frustrate you. Many Training Centers offer technology orientation, but you should arrive ready to learn rather than ready to be taught from scratch.

Physical considerations matter more than candidates expect. You'll spend hours on your knees beside manikins, hauling 50-pound equipment cases between cars and classrooms, and demonstrating two-rescuer scenarios that require lifting an unconscious-style manikin's airway. If you have knee, back, or shoulder issues, factor in foam pads, wheeled cases, and lighter half-manikin options before committing. Pediatric and baby cpr classes are physically easier but require fine-motor demonstrations of infant compressions and back-slap technique.

Personality and communication style finish the prerequisite picture. The best instructors share three traits: clear scripting that follows the curriculum without ad-libbing dangerous shortcuts, calm under pressure when a student panics during the choking scenario, and warmth that turns nervous adult learners into confident rescuers. Introverts can absolutely thrive in this role โ€” small group teaching is very different from public speaking โ€” but you must enjoy explaining the same concept five different ways until it clicks.

Finally, check your state's regulations. A handful of states require instructors who teach in public schools to hold a state-issued teaching credential or to be supervised by a credentialed teacher. Others require instructors teaching for licensed daycares to complete additional background checks through the state child care licensing authority. Spend an afternoon on your state Department of Health and Department of Education websites before enrolling.

Basic CPR
Refresh your provider-level skills before stepping into the instructor course and teach-out evaluation.
CPR and First Aid
Bundle questions for instructors who plan to teach combined CPR plus first aid Heartsaver courses.

Choosing Your Agency: AHA, ARC, or National CPR Foundation

๐Ÿ“‹ American Heart Association

The American Heart Association is the dominant healthcare-facing agency in the United States. Hospitals, nursing schools, EMS systems, and most state licensing boards specifically require AHA BLS, ACLS, and PALS cards for clinical staff. AHA instructor courses are rigorous, scripted to the comma, and built around the acls algorithm and evidence-based guidelines updated every five years. Expect to pay $300 to $500 for the instructor course plus an ongoing alignment fee with a Training Center.

AHA instructors must teach a minimum of four classes per two-year renewal cycle and complete a monitored teach-out every renewal. The agency's e-card system is widely accepted by employers, which makes student demand strong. The downside is rigidity โ€” you cannot deviate from the lesson plan, and Training Centers audit your rosters and class times closely. If you want maximum credibility with hospitals and clinical employers, AHA is the default choice.

๐Ÿ“‹ American Red Cross

The American Red Cross competes directly with AHA in the lay rescuer and workplace markets. ARC instructor courses tend to be slightly more flexible, with strong materials for childcare providers, lifeguards, and corporate audiences. ARC certifications are accepted by most non-clinical employers and meet OSHA workplace requirements. Instructor course costs run $300 to $450, plus annual digital platform fees that include access to lesson plans, videos, and e-certificates.

ARC's blended-learning model is mature and well-supported, with strong online modules that students complete before in-person skills sessions. Renewal requires a minimum number of classes plus continuing education. ARC is the right choice if you plan to teach predominantly schools, daycares, fitness facilities, and workplaces rather than hospitals. The brand recognition is excellent and parents instantly trust the Red Cross logo on a flyer.

๐Ÿ“‹ National CPR Foundation

The national cpr foundation offers a lower-cost, fully online alternative that appeals to budget-conscious workplaces and individuals who need a card quickly. NCPRF certifications are accepted by many employers but are generally not accepted by hospitals, nursing schools, or licensed clinical settings. Becoming an NCPRF-aligned instructor is faster and cheaper but limits your addressable market to non-clinical clients.

If you plan to teach community groups, small businesses, security companies, and individuals who need an OSHA-compliant card for general employment, NCPRF can complement your AHA or ARC instructor status. Many experienced instructors hold credentials from two agencies so they can match the right card to each client's needs. Just be transparent about which certifications are clinical-grade and which are workplace-grade.

Is Becoming a CPR Instructor Right for You?

Pros

  • Flexible schedule lets you teach evenings, weekends, or full-time
  • Strong hourly rates of $30 to $75 with minimal overhead once equipped
  • Meaningful work that directly increases community survival rates
  • Low barrier to entry compared with most healthcare credentials
  • Growing demand from school mandates and corporate compliance programs
  • Skills transfer easily to first aid, bloodborne pathogens, and AED training
  • Build a side business or scale to a full Training Center over time

Cons

  • Upfront equipment costs of $1,500 to $4,000 for independent teaching
  • Physical demands of kneeling, lifting manikins, and demonstrating skills
  • Renewal requirements force ongoing teaching and continuing education
  • Liability insurance is required and adds $300 to $600 per year
  • Marketing and client acquisition take real effort for independents
  • Cancellations and no-shows can disrupt income predictability
  • Scripted curriculum limits creative freedom in the classroom
Adult CPR and AED Usage
Master adult compressions, ventilations, and AED operation โ€” the core content you'll teach to every student.
Airway Obstruction and Choking
Review adult, child, and infant choking algorithms so you can demonstrate and remediate confidently.

Your CPR Instructor Course Preparation Checklist

Confirm your provider-level BLS or Heartsaver card is current and bring the original to class
Identify and contact a local Training Center for alignment before enrolling in the instructor course
Complete the online Instructor Essentials prerequisite and print your completion certificate
Read the full instructor manual cover to cover and tab pages you'll reference often
Practice compressions on a manikin to a metronome at 100 to 120 per minute for two-minute cycles
Memorize the adult, child, and infant compression-to-ventilation ratios cold
Review the acls algorithm and BLS algorithm flowcharts so you can sketch them on a whiteboard
Prepare a one-paragraph self-introduction explaining your background and teaching motivation
Wear professional, comfortable clothing that allows kneeling and demonstration without distraction
Bring a watch with a second hand, a pen, a highlighter, and a notebook for instructor feedback
Schedule your monitored teach-out within 30 days of completing the instructor course
Save digital copies of every certificate, roster, and evaluation in a dedicated cloud folder
The teach-out is the real exam โ€” not the instructor course

Most candidates pass the instructor course on their first attempt because it follows a predictable script. The monitored teach-out is where new instructors struggle: timing a real class, remediating a student who freezes on the AED, and managing paperwork while still finishing on schedule. Co-teach two or three classes with a mentor instructor before your monitored evaluation. That single decision raises pass rates dramatically and turns your first solo class into a confident performance rather than a stressful audition.

Money matters in this profession because most new instructors fund their own equipment, insurance, and marketing. Plan a realistic budget before you teach your first class. The instructor course itself costs $300 to $800 depending on agency. Provider card renewal adds $50 to $120. Training Center alignment fees are sometimes free but can reach $200 per year. Liability insurance through a professional educators' policy runs $300 to $600 annually and is non-negotiable if you teach outside an employer's coverage.

Equipment is the biggest line item. A respectable starter kit for adult, child, and infant classes runs $1,500 to $2,500 and includes four adult manikins with feedback devices, two child manikins, two infant manikins, an AED trainer with adult and pediatric pads, barrier devices, bag-valve masks, and a wheeled transport case. Feedback-enabled manikins are now an AHA requirement for BLS courses and improve teaching outcomes by giving students objective compression depth and rate data.

Income depends on class type, audience, and pricing model. Healthcare BLS classes typically charge students $65 to $95 each. Heartsaver classes for laypeople run $50 to $80. Onsite corporate classes are usually priced per class rather than per student โ€” $400 to $900 for a half-day session covering up to twelve students. Independent instructors who teach two evening classes per week plus one weekend session can realistically earn $2,500 to $5,000 per month after expenses.

Employed instructors at hospitals and large Training Centers usually earn an hourly rate between $30 and $50 plus benefits, but they avoid the costs of equipment, insurance, marketing, and scheduling. The trade-off is fewer hours and less control. Many instructors begin as employees to build experience, then transition to independent contracting once they have a referral network and confidence handling the business side. Hybrid models โ€” part-time employment plus weekend independent work โ€” are common and stable.

Marketing your independent practice does not require a big budget. A simple one-page website with class schedules, a Google Business Profile with reviews, and consistent posting in local parenting and small-business Facebook groups will fill most classes within six months. Partnerships with daycares, gyms, churches, and HOAs produce steady recurring business. Offer a free 10-minute hands-only demo at a community event and you will leave with a stack of registration emails.

Pricing strategy matters more than rate. Charging $75 per student with 8 students nets $600 for a 3-hour class. Charging $55 to fill 12 students nets $660 plus referrals. New instructors often underprice to fill seats; experienced instructors learn that the right price plus good marketing fills classes faster than discount pricing ever will. Track your cost-per-student carefully โ€” manikin sanitizer, printed materials, e-cards, and parking add up to $8 to $15 per student.

Tax planning is essential. Independent instructors should register an LLC or sole proprietorship, open a separate business checking account, save 25 to 30 percent of revenue for self-employment taxes, and track every mileage trip, equipment purchase, and continuing education expense. A simple accounting app and a quarterly check-in with a tax professional usually pays for itself many times over in deductions you would otherwise miss.

Once you have your instructor card, the real work of building a teaching career begins. Most new instructors plateau in the first six months because they treat teaching like a hobby rather than a small business. The instructors who scale to $50,000 to $100,000 of annual revenue treat every class as a marketing event, every student as a potential referral source, and every reviewer as a long-term reputation asset. The mindset shift from technician to entrepreneur is what separates short-lived instructors from career educators.

Specialization compounds your earnings. Generalists teach adult Heartsaver classes to mixed audiences. Specialists own a niche: pediatric daycare staff, dental office BLS, construction site CPR plus first aid plus bloodborne pathogens bundles, or new-parent classes covering leather cpr mnemonics and infant choking response. Specialists charge higher rates, fill classes faster through word-of-mouth in their niche, and become the obvious choice when a daycare or dental practice needs annual training for the whole team.

Add-on certifications multiply your offerings. After your initial CPR instructor card, consider becoming a First Aid instructor, a Bloodborne Pathogens instructor, an AED program advisor, and eventually an ACLS or PALS instructor if you hold the clinical background. Each additional credential opens new client segments. A full-spectrum instructor who can teach BLS, ACLS, PALS, First Aid, and BBP commands premium pricing and rarely competes on price.

Continuing education keeps your skills sharp and your card valid. Subscribe to your agency's instructor newsletter, attend the annual instructor update webinar, and read every Science Update from the International Liaison Committee on Resuscitation. The acls algorithm and BLS algorithm get refined every five years and minor updates appear between cycles. Students will ask about new guidelines on respiratory rate targets, capnography, and post-arrest care โ€” be ready with current answers.

Quality control protects your reputation. Use a written script for every class, follow the same opening, body, and closing structure, run skills stations with rotation timers, and end every class with a written or oral knowledge check that mirrors the agency's required testing. Document remediation when a student needs extra coaching. If you ever face a roster audit or a student complaint, your written records are your defense. Sloppy paperwork ends more instructor careers than poor teaching ever does.

Reviews and referrals fuel sustainable growth. Ask every satisfied student to leave a Google review the same day. Send a follow-up email 30 days later with their e-card link, a thank-you note, and a request to refer friends or coworkers. Offer a small discount for repeat clients or group bookings. Over two years, a single corporate client that schedules annual training for 40 staff is worth more than 100 walk-in students who never return.

Mentorship closes the loop. Once you have two years of experience and 30 to 50 classes under your belt, consider applying for Training Center Faculty status. TCF instructors monitor and certify new instructors, run instructor courses, and earn $50 to $100 per hour for that work plus the satisfaction of multiplying their impact. Every TCF you meet was once a brand-new instructor who treated their first solo class as the beginning of a craft worth mastering.

Practice the National CPR Foundation Question Bank Now

Practical tips from working instructors save you months of trial and error. Before every class, arrive 45 minutes early to set up manikins, charge AED trainers, lay out barrier devices, and test the projector. A well-staged room signals professionalism and reduces your stress when the first student walks in. Place rosters, pens, and printed agendas at each seat. Greet every student by name as they arrive and confirm pronunciation. These small touches drive five-star reviews more than any teaching technique.

During the class itself, follow the script but read the room. If three students are visibly anxious about chest compressions, pause for a hands-on warm-up before the formal skills station. If the class is mostly nurses who already know the content, lean into the acls algorithm refinements and infant cpr nuances rather than rehashing the basics. Adult learners disengage when content feels remedial; they engage when you respect their experience while still covering the required curriculum.

Skill demonstrations make or break student confidence. Demonstrate compressions slowly the first time while narrating depth, rate, recoil, and hand placement. Demonstrate at full speed the second time without narration so students see the rhythm. Then have students practice in pairs while you walk between manikins giving short, specific feedback: "deeper," "let it come all the way up," "slow down by ten." Specific feedback beats general praise every time.

Teach the AED scenario as a story, not a list of steps. "You walk into the break room. Your coworker is on the floor. You shake and shout โ€” no response. You check for breathing โ€” none. You yell for help and someone brings the AED." Stories give learners a context to remember the steps. Cover what does aed stand for early, explain how the device analyzes rhythm, and emphasize that the AED will not shock unless the rhythm is shockable. Demystifying the device removes fear.

Choking, recovery position, and infant cpr deserve dedicated stations. Use real infant manikins for back slaps and chest thrusts so students feel the appropriate force. Practice rolling an adult manikin into the recovery position from both sides. Walk through the difference between an unconscious choking adult who needs CPR and a conscious choking adult who needs abdominal thrusts. Many students leave classes still unclear on these distinctions โ€” your job is to make them crystal clear.

End every class with a confident send-off. Review the most important takeaways, hand out e-card instructions, answer any final questions, and remind students that they are now part of the chain of survival. A short, warm closing turns satisfied students into ambassadors. Many independent instructors share cpr songs as a final memory aid โ€” the beat of Stayin' Alive, Baby Shark for pediatrics, or Another One Bites the Dust โ€” because rhythm sticks even when written notes fade.

Finally, debrief yourself after every class. What worked? Which station ran long? Which student needed extra remediation and why? Keep a simple journal โ€” one paragraph per class โ€” and review it monthly. Patterns emerge: maybe your AED explanation always runs ten minutes long, or your infant station always feels rushed. Adjust your script, your timing, and your room layout. Instructors who reflect deliberately become great teachers within a year. Instructors who don't reflect plateau and eventually burn out.

Cardiopulmonary Emergency Recognition
Train your eye to identify cardiac and respiratory emergencies โ€” essential teaching content for every class.
Child and Infant CPR
Master pediatric and infant compression depth, rate, and ventilation technique for your specialty classes.

CPR Questions and Answers

How long does it take to become a CPR instructor?

Most candidates complete the full pathway in 6 to 12 weeks. You need a current provider-level CPR card, the online Instructor Essentials prerequisite, a one-day in-person instructor course, and a monitored teach-out where a Training Center Faculty member observes your first official class. Motivated candidates with existing provider cards can finish in under a month; busy professionals typically take two to three months to schedule everything around work.

Do I need to be a nurse or paramedic to teach CPR?

No. Teachers, firefighters, lifeguards, fitness professionals, daycare directors, and motivated laypeople regularly become CPR instructors. The only requirement is a current provider-level card in the discipline you want to teach. Clinical disciplines like ACLS and PALS do require an underlying clinical license, but BLS and Heartsaver instructor courses are open to anyone who meets the age and prerequisite requirements set by the agency.

Which agency should I align with โ€” AHA, ARC, or NCPRF?

Choose based on your target market. American Heart Association is the standard for hospitals and clinical employers. American Red Cross dominates schools, daycares, lifeguards, and workplaces. National CPR Foundation serves budget-conscious workplaces but is not accepted by clinical employers. Many successful instructors hold credentials from two agencies so they can match the right certification to each client's needs and licensing requirements.

How much can I earn as a CPR instructor?

Independent instructors typically earn $30 to $75 per teaching hour, with most active part-timers grossing $2,500 to $5,000 per month after expenses. Full-time independents who teach 15 to 20 classes per month can reach $80,000 to $120,000 annually. Employed instructors at hospitals or Training Centers earn $30 to $50 per hour plus benefits but avoid the costs of equipment, insurance, and marketing that independents absorb.

What equipment do I need to start teaching independently?

A respectable starter kit costs $1,500 to $2,500 and includes four adult feedback-enabled manikins, two child manikins, two infant manikins, an AED trainer with adult and pediatric pads, barrier devices, bag-valve masks, sanitizing supplies, and a wheeled transport case. Feedback-enabled adult manikins are now an AHA BLS requirement. Many new instructors start with rentals through their Training Center before purchasing their own equipment.

How often do I need to renew my instructor certification?

Most agencies require renewal every two years. You must teach a minimum number of classes โ€” typically four to six per cycle โ€” and complete a monitored teach-out at renewal. Missing the deadline forces you to repeat the entire instructor course rather than simply renewing. Track every class from your first day and set calendar reminders 90, 60, and 30 days before your card expires to stay compliant.

Can I teach CPR online or does it have to be in person?

Hybrid models are standard. Students complete online knowledge modules and then attend an in-person skills session where they demonstrate compressions, ventilations, AED use, and choking response on real manikins. Fully online CPR certifications exist through some lower-tier providers but are not accepted by hospitals, schools, or most regulated employers because hands-on skills cannot be verified through a webcam. Most instructors offer blended classes for efficiency.

What does AED stand for and do I need to teach it?

AED stands for Automated External Defibrillator. Yes, every CPR class includes AED training because early defibrillation is a critical link in the chain of survival. Your instructor course covers how to demonstrate AED pad placement, explain rhythm analysis, coordinate AED use with ongoing compressions, and address common student fears. AED trainers are required equipment for every class you teach.

Do I need liability insurance to teach CPR?

Yes, if you teach independently. Professional liability insurance for CPR instructors typically costs $300 to $600 per year and protects you against claims arising from teaching, equipment failures, or student injuries during practice. Employed instructors are usually covered under their employer's policy. Never teach a paid class without verified coverage โ€” a single claim without insurance can wipe out years of teaching income.

What is the difference between BLS and Heartsaver instructor certification?

BLS instructor certification qualifies you to teach healthcare providers, nursing students, and clinical staff using two-rescuer techniques, advanced airway considerations, and team dynamics. Heartsaver instructor certification qualifies you to teach laypeople, workplace responders, schools, and daycares using single-rescuer scenarios. Many instructors hold both credentials so they can serve hospitals on weekdays and community or workplace clients on evenings and weekends with the same equipment.
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