AMM Clinical Training Evaluation 2012
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Please fill in the following participant information.

Please type in N/A in sections that are not pertinent.

FCM does not sell or share our participant database information lists.

Please fill in the following participant information. Please type in N/A in sections that are not pertinent. FCM does not sell or share our participant database information lists. AttendeeFirstName
AttendeeLastName
Address1
City
StateOrProvince
PostalCode
Country
WorkPhone
EmailAddress
Today's Date (mm/dd/yyyy)

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Medical Designation:

Medical Designation: MD

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Number of hours attended expressed as a whole number, eg 44 - (12 self-study and 32 clinical)

MAXIMUM CREDIT HOURS IS 44

Number of hours attended expressed as a whole number, eg 44 - (12 self-study and 32 clinical) MAXIMUM CREDIT HOURS IS 44

Directions: Please take a few minutes to think about this evaluation. An answer to ALL of the items is REQUIRED. Please refer to the Course Objectives while completing this survey. Please base your responses on your interactions with the Cenegenics teaching physicians and nutritionist.

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Were the objectives met?

Were the objectives met? Yes

AMM Clinical Training Evaluation 2012Exit this survey

*Please fill in the following participant information. Please type in N/A in sections that are not pertinent. FCM does not sell or share our participant database information lists.

*Medical Designation:

*Number of hours attended expressed as a whole number, eg 44 - (12 self-study and 32 clinical)MAXIMUM CREDIT HOURS IS 44

*Were the objectives met?

AMM Clinical Training Evaluation 2012
Exit this survey

*
Please fill in the following participant information.

Please type in N/A in sections that are not pertinent.

FCM does not sell or share our participant database information lists.

*
Medical Designation:

*
Number of hours attended expressed as a whole number, eg 44 - (12 self-study and 32 clinical)

MAXIMUM CREDIT HOURS IS 44

*
Were the objectives met?