International Integrative Medicine Day 2010
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1. Assessment of International Integrative Medicine Day - January 23
100%
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1
. Have you heard of International Integrative Medicine Day- January 23?
Have you heard of International Integrative Medicine Day- January 23?
Yes
No
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2
. How did you hear of International Integrative Medicine Day? Please choose all that apply.
How did you hear of International Integrative Medicine Day? Please choose all that apply.
Humed List Serve
Alternative Therapies in Health and Medicine - peer reviewed journal
American Chronic Pain Association
Arizona Center for Integrative Medicine, at the University of Arizona
Integrative Medicine – A Clinician’s Journal
Oregon Collaborative for Integrative Medicine
Susan Samueli Center for Integrative Medicine University of California Irvine
Colleague
I did not hear of International Integrative Medicine Day
Other (please specify)
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3
. How did you celebrate International Integrative Medicine Day? Please choose all that apply.
How did you celebrate International Integrative Medicine Day? Please choose all that apply.
Abdominal breath/Smile
Spent joyous time with community
Treated a patient using Integrative Medicine
Spoke about Integrative Medicine
Attended/organized Integrative Medicine Workshop
Attended/organized Integrative Medicine Political Action
Did not celebrate International Integrative Medicine Day
Other (please specify)
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4
. If you attended an event, how did this experience inspire you? Please choose all that apply.
If you attended an event, how did this experience inspire you? Please choose all that apply.
I will incorporate Integrative Medicine when working with patients.
I will incorporate Integrative Medicine into my personal routine.
I feel more comfortable speaking about Integrative Medicine.
I did not attend an event.
Other (please specify)
5
. If you organized an event, please describe your event and share how many people attended.
If you organized an event, please describe your event and share how many people attended.
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6
. What would make International Integrative Medicine Day even better next year?
What would make International Integrative Medicine Day even better next year?
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7
. What is your occupation?
What is your occupation?
Medical Student
Pre Medical Student
Other (please specify)
8
. Please share your contact information if you are interested in becoming an International Integrative Medicine Day Ambassador and organizing an event or activity next year.
Please share your contact information if you are interested in becoming an International Integrative Medicine Day Ambassador and organizing an event or activity next year.
Name:
Company:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
9
. Please share your contact information if you represent an organization interested in becoming an International Integrative Medicine Day Partner.
Please share your contact information if you represent an organization interested in becoming an International Integrative Medicine Day Partner.
Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
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