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Survey: SDEP® Echo Lab LIVE Virtual Attendees – March 24-26 2023, Andover, NJ
Survey: SDEP® Echo Lab LIVE Virtual Attendees – March 24 – 26, 2023, Andover, NJ
20-753073
Email
(Required)
First Name
(Required)
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
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
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
(Required)
Address
(Required)
City
(Required)
State
(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
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)
Let us know a little bit about you
Tell us about your current ultrasound level so we can tailor our teaching and stations to your needs.
(Required)
I am a Beginner – limited scanning, do not know what cardiac views are needed, starting from scratch
I am beginner/intermediate – I am familiar with the needed cardiac views and can get most of them most of the time, limited or no experience with measurements and Doppler
I am intermediate – I am fairly confident with my ability to get the needed cardiac views, need refinement on measurements and Doppler
I am intermediate/advanced – I am confident with the needed cardiac views, measurements and Doppler, but need refinement and work on more difficult presentations as well as efficiency
I am advanced – I am very confident with needed cardiac views, measurements and Doppler; I would like to take my current skills to the next level, improve efficiency and my clinical approach to pathology
Other
How long have you specifically scanned hearts?
(Required)
Are you familiar with Doppler?
(Required)
Yes
No
Other
How many people will scanning in your group?
(Required)
1
2
3
Other
Please add the names of the people in your scanning group.
(Required)
Are you familiar with the SDEP® Echo Protocol?
(Required)
Yes – I have been scanning with the SDEP® Protocol
No – I do not use the SDEP® protocol
Other
If yes, where did you receive your training?
(Required)
Previous Hands on Lab with SonoPath
Previous LIVE Virtual Lab
SDEP® Echo online virtual course on SonoPath Education
Other
Do you currently submit cardiac cases to a telemedicine company for evaluation?
(Required)
Yes
No
If yes, please specify the feedback you may have received. (This information helps us customize the Live virtual training for you)
What are the primary issues do you wish to work on with echocardiography during the wet lab sessions?
(Required)
What do you hope to achieve from the LIVE Virtual wet lab sessions?
(Required)
What topics are you most interested in learning about during the pathology lectures?
(Required)
What brand is your Ultrasound machine?
GE
Mindray
Esaote
Toshiba
Samsung
Phillips
Hitachi
Fuji
Wisonic
Sonoscape
Other
If other, please list your ultrasound machine here.
What probes will you be using? (provide the specific names)
Do you have a cardiac table you will be using during the wet labs?
(Required)
Yes
No
Other
Are you looking to upgrade your current ultrasound system?
(Required)
Yes
No
Please select all that apply
I am interested in learning more about the SonoPath NinjaSP ultrasound machine
I am interested in acquiring more probes
I am interested in a pricing consultation 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
Would you like information on SonoPath's telemedicine and virtual coaching services?
(Required)
Yes
No
Have you set up your FREE telemedicine account with SonoPath?
(Required)
Yes
No
As part of your Live virtual CE requirements, you will be asked to submit a case for a QC Evaluation on your technique that you learned over the weekend (no diagnostics will be provided).
Would you like to have a quick 10 minute overview of Sonopath.com during one of the lunch breaks to learn how SonoPath.com can support you after you leave the seminar?
(Required)
Yes
No
Are you interested in receiving information on our 1 on 1 remote training for scanning refinement, after the lab weekend?
(Required)
Yes
No
If you did not order the Educational package with your Live virtual course – would you like to now?
Yes – please invoice me for the Educational pkg. ($400)
No thank you
I am interested in other products
The Educational Support Package includes: The Curbside Guide (paperback), SDEP® 7 Pt. Echo Progression Poster & Ultimate Image Digital Library. The package will be mailed to you before the weekend lab.
Anything else you'd like to let us know? Any Questions?
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