Interest in an SMDM Onsite Training

Please complete this brief survey if you are interested in learning more about SMDM's onsite training program. SMDM is pleased to offer onsite courses and speakers for panels and symposia in shared decision making and risk communication. Learn more about recent onsite SMDM courses and presentations. An SMDM representative will be in contact with you shortly regarding your request.

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* 1. Contact Information:

Name:

E-Mail address:

Organization:

City, State, Country:

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* 2. What topic(s) of interest is your organization interested in learning more about?

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* 3. What is your expected audience size (if known)?

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* 4. What is the makeup of the audience? (Select all that apply.)

Clinicians

Researchers

Policymakers

Other (please specify):

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* 5. Format of desired training? (Select all that apply.)

Short Course

Symposium Organizer

Symposium Participant

Other (please specify):

Interest in an SMDM Onsite Training

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* 1. Contact Information:

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* 2. What topic(s) of interest is your organization interested in learning more about?

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* 3. What is your expected audience size (if known)?

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* 4. What is the makeup of the audience? (Select all that apply.)

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* 5. Format of desired training? (Select all that apply.)

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* 6. When would you like the training to be held (approximate month/year)?

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* 7. Other Information/Questions: