SMILES FIRST ACADEMY

Hey, glad to see you around here!
First of all, let me thank you for taking our 2-minute survey. You are a great help! 🙂
We at Smiles First Academy are on a daring quest to collect the right data about what courses we should offer just for you.
And don’t worry, your data is just for course purposes so your answers will remain anonymous. We promise! Get started and take your chance to WIN a $50 Visa gift card!

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* 1. What is your profession?

Dentist

Dental Assistant

Hygienist

Practice Manager

Admin

Other (please specify)

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* 2. How many years have you been practicing?

0-3

3-10

> 10

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* 3. What learning format do you prefer?

Live learns

Online learning

Both

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* 4. Would you prefer hands-on or lecture only?

Hands-on

Lecture

Both

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* 5. Would you prefer a full day or half day seminar for live learns?

Full day

Half day

Both

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* 6. Rate from highest to lowest what is the most important to you

Speaker

N/A

Cost

N/A

Location

N/A

CE Credit

N/A

Learning Format

N/A

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* 7. Choose a category that best describes what you want to learn about (select all that applies to you)

Endodontics

Occlusion

Orofacial Pain

Operative Dentistry

Oral and Maxillofacial Surgery

Anesthesia and Pain Management

Orthodontics

Periodontics

Pediatric Dentistry

Removable Prosthodontics

Practice Management and Human Relations

Implants

Oral Medicine, Oral Diagnosis, Oral Pathology

Fixed Prosthodontics

Special Patient care

Esthetics/Cosmetic Dentistry

Self Improvement

Other

SMILES FIRST ACADEMY

Question Title

* 1. What is your profession?

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* 2. How many years have you been practicing?

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* 3. What learning format do you prefer?

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* 4. Would you prefer hands-on or lecture only?

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* 5. Would you prefer a full day or half day seminar for live learns?

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* 6. Rate from highest to lowest what is the most important to you

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* 7. Choose a category that best describes what you want to learn about (select all that applies to you)

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* 8. Based on the categories chosen, specify 3 topics that you would be interested in attending and learning about?

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* 9. Additional Comments

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* 10. Please provide your email address for a chance to win a $50 Visa gift card.