CME: Empowering a Safe Ramadan
Please complete this form to confirm your attendance at our Continuous Medical Education (CME) event, Empowering a Safe Ramadan

📅 Date: Saturday, 31st January 
⏰ Time: 2pm – 4pm 
📍 Venue: AMP Auditorium, Level 4, Pasir Ris East Community Club (1 Pasir Ris Drive 4, S519457) 
✅ CME Points: Pending 
🎟️ Admission fee: FREE

Please contact Sarina @ 90477584 for queries, or admin@mhpa.org.sg
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Email *
Empowering a Safe Ramadan
Full Name *
Professional Title/Designation *
Institution/Organization Name
Mobile Phone Number (for urgent communication) *
Will you be attending the CME event? *
Are you a MHPA member? *
When do you typically begin "Ramadan Readiness" reviews with your diabetic patients? *
Do you currently use a formal risk-stratification tool (e.g., the IDF-DAR score) to advise patients against fasting? *
On a scale of 1–5, how often do your patients report "gastric" symptoms as a reason for breaking their fast prematurely? *
Never
Daily / Cannot fast due to symptoms
Which of the following do you find most challenging to counsel patients on? (Select all that apply) *
Required
Is there a specific clinical scenario or "difficult case" you have encountered during Ramadan that you would like our specialists to discuss?
How did you hear about this event? *
Required
We plan to start the session promptly at 2pm. Please rate the likelihood of your on-time arrival.
Unlikely to be on time
Highly likely to be on time
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A copy of your responses will be emailed to the address you provided.
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