ERDBA Ambassador program survey
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Clinic type *
Session *
How did you hear about the clnic/training session? *
check off all that apply
Required
Rate Registration process *
Rate clinic/training format *
Rate Topics covered *
Rate Skills covered *
Rate Handouts (if applicable)
Clear selection
Rate Clinicians *
Rate Facility *
Recommend *
On a scale of 0 to 10, how likely are you to recommend our ERDBA clinic/program to a friend or colleague?
Not at all likely
Extremely Likely
Comment about learning experience
Comment about favorite part of clinic
Comment
What would you like to change about your clinic experience (add or omit)
Comment
What topic/skill was most interesting
Submit
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