2016 ACR-RBMA Practice Leaders Forum

Welcome!

Thank you for participating in our evaluation – your feedback is very important! We ask that you please rate the sessions and faculty as noted and provide any additional feedback in the Comments areas. We’ve given you the option to provide your name, although it is not required, but would allow us to follow-up with you directly regarding your feedback. Thanks for your time!

Question Title

* 1. Name/E-Mail (optional)

Full Name

Email Address

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* 2. I am a member of:

ACR

RBMA

Both

Neither

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* 3. I am employed by / affiliated with:

Private Practice Radiology Group

Academic Institution / Medical School

Multi-specialty physician practice or clinic (includes Permanente)

Government (VA/Active Duty Military/State Dept. /Public Health Systems/State Public Health Dept.

Other (please specify)

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* 4. In the past I have attended:

The ACR-RBMA Forum

The ACR Practice Leaders Meeting

Both Meetings

Neither Meeting