Course Survey

First Name
Last Name
Email (valid email required)
New Field
Topics I would be interested in knowing more about: (If the topics are orthodontics, please specify)
Course format
Ideal program length
Day of week you prefer a course
The number of C.D.E. credit per course
Instructor
location
Please list an other factors that determine whether or not you will attend a C.D.E. course.
Please provide us with any additional information regarding your C.D.E. needs and interests, or comments that will help us to plan programs that will be of meaning and interest to you. Please list any problems you are encountering in your practice that you feel could be resolved or addressed by a C.D.E. course.
The Academy thank you for taking the time to fill out this survey, we value your input and hope to serve you with your C.D.E. requirements in the near future.
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ACADEMY OF Gp ORTHODONTICS