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Feb 20-21, 2026 PRP Joint Injection Workshop - Pre-Event Survey

Please complete ASAP. It will only take 2 mins... Thank You!

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Question 1 of 8

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 8

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 8

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 8

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 8

Would you like to serve as one of our patients for one or more of these PRP joint procedures? - (Knee, Hip, or Shoulder - you must have pain or a need in one of these areas)

A

Yes!

B

No, thank you.

Question 6 of 8

If you would like to serve as a patient, which area would you like PRP? 

(Select all that apply)
A

Knee

B

Hip

C

Shoulder

D

N/A

Question 7 of 8

If you would like to serve as a patient, do you have an MRI of the affected area? - (not required, but having an MRI within the past year would be ideal.)

A

Yes!

B

No, I'm sorry I do not

Question 8 of 8

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