1. How would you rate your overall satisfaction with the presentation? *

Very Dissatisfied
Very Satisfied

2. Did you learn something new? *

3. Did the content of the presentation meet your expectations? If not, what would you have liked to see?

4. Would you consider booking an appointment with the presenting physician? *

5. What are your thoughts on the presenting physician? 

6. How did you find out about this Wellness Seminar? *

7. How was the process of registering? *

Very Difficult
Very Easy
Name:
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

By clicking Submit, I understand that I may receive email marketing as an outcome of this form, and my email will not be sold to any third parties. I may opt-out of these emails at any time by clicking the unsubscribe button.