Survey: SDEP® Abdomen Lab – May 20-22, 2022, Andover, New Jersey

20-759087

Email(Required)

First Name(Required)

Last Name(Required)

What state is your license issued in?(Required)

What is your license number?(Required)

*Technicians please put N/A

Professional Code(Required)

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

Veterinary Credentials

Company Name(Required)

Address(Required)

City(Required)

State(Required)

Postal Code(Required)

Mobile Phone Number(Required)

Dietary Restrictions?(Required)

This field is used to help accommodate catering decisions for the lab weekend, if attending virtually please select “Attending Virtually”

If yes, please specify(Required)

Veterinary Credentials(Required)

Proof of Vaccination or Negative Test(Required)

Max. file size: 50 MB.

Survey

Tell us about your current ABDOMINAL ultrasound level so we can tailor our teaching and stations to your needs.(Required)

I am a Beginner – I’ve barely done any scanning

I am intermediate – I get most organs, but have trouble with adrenals and high-end views

I am advanced- I readily get organs, but would like to improve my efficiency on high end views and clinical approach to pathology

Other

What do you hope to achieve from the 3-day SDEP Abdomen Lab?(Required)

What do you hope to learn from the pathology lectures?(Required)

Does your practice currently have an ultrasound machine?(Required)

Yes

No

What brand is your Ultrasound machine?

Are you looking to upgrade your current ultrasound system?

Yes

No

Please select all that apply

I am interested in learning more about the Mindray Elite

I am interested in acquiring more probes

I am interested in a pricing consultation regarding the Mindray Elite

I have other questions

Please list your questions here

How did you find out about our ultrasound lab?(Required)

Attended a lab before

Google Search

I received an email

Facebook

Linked In

Dr. Lindquist

A friend or colleague told me about it

Would you like information on SonoPath's telemedicine and virtual coaching services?(Required)

Yes

No

Will you be staying the Courtyard by Marriot Rockaway/Mt. Arlington with our Attendee discount? (If attending virtually please select No)(Required)

Yes

No

Where will you be staying? (For transportation purposes, If attending virtually please select No)(Required)

Will you be using the provided shuttle service from to and from The Courtyard to the Education Center during the weekend? (If attending virtually please select No)(Required)

Yes

No

Would you like to have a quick 10 minute overview of SonoPath.com during one of the lunch breaks to learn how we can support you after you leave the seminar?(Required)

Yes

No

We are accepting pre-event product orders and plan to have them available to you upon your arrival. Please select the product(s) you would like to have waiting for you.

Anything else you would like to let us know? Any Questions?

[email protected]

www.sonopath.com

1-800-838-4268

EDUCATION CENTER LOCATION: 141 Main Street, Andover NJ 07821