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2010 CAG Educational Needs Assessment Survey
2.
Respondent Demographics (page 1 of 4)
1.
Name (optional)
Only required if you wish to be entered in the draw of three prizes of two nights accommodation at CDDW 2011.
2.
Email Address (optional)
Only required if you wish to be entered in the draw of three prizes of two nights accommodation at CDDW 2011.
3.
CAG Member?
(Required.)
Yes
No
4.
Specialty
(Required.)
Gastroenterologist (adult)
Gastroenterologist (pediatrics)
Hepatologist
Surgeon
Clinical Scientist
Basic Scientist
Resident/Fellow
Other
5.
Your location:
(Required.)
BC
AB
SK
MB
ON
QC
NB
NS
PE
NL
NWT/Nunavut/Yukon
Outside Canada
