POM Workshop Interest Form

This form is for those who were looking to attend a Personal Outcome Measures® Workshop, yet were unable to due to the workshop reaching capacity or the workshop having already been completed.

You can enter your contact information if you are interested in attending a Personal Outcome Measures® Workshop at a later date. Those completing this form will be notified prior to CQL's public promotion of future Personal Outcome Measures® Workshops. You will have the opportunity to sign up for our workshops before CQL distributes registration information more broadly.

Question Title

* 1. Contact Information

Name

Job Title

Organization

City/Town

State/Province

Country

Email Address

Question Title

* 2. Which POM Workshop were you originally looking to attend?

Other (please specify)

Question Title

* 3. Are you interested in an In-Person or Virtual workshop?

In-Person

Virtual

Either

POM Workshop Interest Form

Question Title

* 1. Contact Information

Question Title

* 2. Which POM Workshop were you originally looking to attend?

Question Title

* 3. Are you interested in an In-Person or Virtual workshop?

Question Title

* 4. Is there any other information you would like to share with CQL?