Charleston Mobile Dinner Lecture Questionnaire – October 22, 2022

Thank you for taking the time to fill out our questionnaire. Once you submit the form, you will be automatically directed to your CE Certificate for this evenings lecture.

Charleston Mobile Conference Questionnaire – October 22, 2022

"*" indicates required fields

First Name:*

Last Name:*

Email:*

Name of Practice:*

What is your license number? *Technicians please put N/A*

Professional Code*

(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROPDOWN.

What state is your license issued in?*

How many clinical visits with sick patients do you have per day?*

Do you utilize telemedicine services for diagnostic reports?*

No – we read our own ultrasound exams

Yes – we send out for diagnotsic reports

Both

Do you currently do your own ultrasound exams, refer out, or have a mobile service come in? Or do you have a combination of all 3?*

We preform our own ultrasound exams

Refer patients out for ultrasounds

We use a Mobile Ultrasound Service

We don’t utilize any ultrasound services

Check the ultrasound services you currently utilize.

What is the ideal time of day for a mobile sonographer to come to your clinic?*

How much technician time is acceptable for a single cavity ultrasound?*

How much should a mobile ultrasound (single cavity) cost?*

Would you consider a certified veterinary technician well trained in image acquisition, and a specialist read with a diagnostic report as a potential mobile service you would be interested in?*

Do you think your clients would be amenable to pre-sedating their pets with Gabapentin and/or Trazadone prior to the scan?*

If no, why?*

Please explain your concerns or if you use another pre-sedation protocol.

Are there additional services that could be offered by the mobile sonographer that would be beneficial to your practice? If so, what are they?*

Are you enjoying the dinner lecture subject matter, venue, cuisine and beverage selection?*

We appreciate your input on this event.

Would you like us to send you additional follow up information on any of the topics below:*

Lunch & Learn with a Mobile Sonographer

Webinars

Telemedicine & Teleradiology Services

Ultrasound Educational Courses

Mobile Sonographer Services

Other

No – thank you

If other, please describe.*

Please share any suggestions regarding lecture material and general improvements for the future events.*

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www.sonopath.com

1-800-838-4268

EDUCATION CENTER LOCATION: 141 Main Street, Andover NJ 07821