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Survey: SDEP® Abdomen Lab – May 5-7, 2023, Andover, New Jersey
Survey: SDEP® Abdomen Lab – May 5-7, 2023, Andover, New Jersey
20-759087
Email
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First Name
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Last Name
(Required)
What state is your license issued in?
(Required)
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
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PA
PR
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SC
SD
TN
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UM
UT
VA
VI
VT
WA
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International/Other
What is your license number?
(Required)
*Technicians please put N/A
Professional Code
(Required)
V
VT
N/A
(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROPDOWN!
Veterinary Credentials
(Required)
DVM
DACVIM
DACVR
DABVP
DACVS
DACVSMR
Technician
Not A Veterinarian
DACVAA
DACVD
DACVECC
DACVIM-SAIM
DACVO
DACVP
DACVS-SA
DAVDC
DDA
ABVP
AH
APAC
ARDMS
ARF
BS
BSc
BVSc
CCRP
CCRT
CERP
CVA
CVCHM
CVJ
CVPP
CVT
ECVIM
HBSc
JD
LVT
MBA
MHS
MPH
MRCVS
MS
MSc
NAP
PhD
PT
RDMS
RPG
RVT
VMD
Corporate Affiliation
(Required)
Please use NA if you do not have a corporate affiliation.
Company Name
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Address
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City
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State
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AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
International/Other
Postal Code
(Required)
Mobile Phone Number
(Required)
Dietary Restrictions?
(Required)
No
Yes
This field is used to help accommodate catering decisions for the lab weekend.
If yes, please specify
(Required)
Please be specific with any of your restrictions and or allergies.
Do you have an physical limitations that would limit your scanning abilities, that we should know about?
(Required)
No
Yes
Example limitations: Carpal tunnel syndrome, shoulder issues, standing for long periods at a time, etc. We ask this, so that we can be prepared for any special accommodations or alternative suggestions for scanning positions that will best accommodate you.
If yes, please specify
(Required)
Please be specific with any physical limitation concerns you may have.
Proof of Vaccination or Negative Test
(Required)
Max. file size: 50 MB.
Let us know a little bit about you
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)
Do you currently submit cases to a telemedicine company for evaluation?
(Required)
Yes
No
Does your practice currently have an ultrasound machine?
(Required)
Yes
No
What brand is your Ultrasound machine?
(Required)
GE
Mindray
SonoPath NinjaSP
Esaote
Toshiba
Samsung
Phillips
Hitachi
Fuji
Wisonic
Sonoscape
Other
If other, please list brand and model here.
(Required)
Please list the model of your ultrasound machine.
(Required)
Are you looking to upgrade your current ultrasound system?
(Required)
Yes
No
Please select all that apply
(Required)
I am interested in learning more about the SonoPath NinjaSP
I am interested in acquiring more probes
I am interested in a pricing consultation & free cost analysis regarding the SonoPath NinjaSP
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
Will you be staying the Courtyard by Marriot Rockaway/Mt. Arlington with our Attendee discount?
(Required)
Yes
No
If staying at the Courtyard, would you like to request a seat on the shuttle (from the Courtyard to the Education Center)? Please keep in mind, space is limited to the first 10 requests. To ensure a reservation please return this survey promptly. You will be contacted either way to confirm your reservation or to be notified that the shuttle is full.
(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. (We will send you an invoice prior to the lab weekend.)
Ultimate Ultrasound Image Library $175
The Curbside Guide – Paperback $135
The Curbside Guide -eBook $89.00
SDEP® 17 Pt. Abd. Progression Poster $115.00
SDEP® 7 Pt. Echo Progression Poster $115.00
Orthopedic Progression Poster $115.00
Primary Intrahepatic Shunting Poster $115.00
Primary Extrahepatic Shunting Poster $115.00
PRE-ORDERS: NEW Cardi-Go!™ Cardiac Table $635.00
SonoPath Zip-up Hoodie $35.00
If you ordered the Educational Support Package with your registration – you bundle will be ready when you arrive (incl. poster, The Curbside Guide & Ultimate Image Digital Library – link sent with registration).
Anything else you would like to let us know? Any Questions?
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