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Nov 17-18, 2023 Workshop - Pre-Event Survey

Please complete ASAP so we know how to print your name tag and if you have any food allergies, etc. It will only take 2 mins... Thank You!

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Question 1 of 5

YOUR NAME - What is the NAME you would like on your name tag, and that you would prefer us to call you by throughout the training? (i.e. Heather Smith-Fernandez, Dr Heather, Dr Smith-Fernandez, etc.)

Question 2 of 5

YOUR ASSISTANT'S NAME - What is the NAME of your +1 Assistant that they would like printed on their name tag, and that they would prefer us to call them by throughout the training? (i.e. Heather Smith-Fernandez, Dr Heather, Dr Smith-Fernandez, etc.). If not applicable, type N/A.

Question 3 of 5

YOUR ASSISTANT'S EMAIL ADDRESS - So we can contact them directly with final details before the workshop, and any follow-up emails. Privacy Promise: We will not share this info with anyone, and we will never send spam.  If not applicable, type N/A.

Question 4 of 5

DIETARY RESTRICTIONS - Lunch and snacks will be provided each day of the training. Please indicate any food allergies or restrictions for you and/or your assistant. If none, please type NONE.

Question 5 of 5

ANY QUESTIONS? - We have sent you two emails with event details, but meanwhile... Are there any questions you have for us to help you prepare for our in-person training? 

Confirm and Submit