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Survey: SonoPath Summit – July 15-17, 2022, Andover, New Jersey
Survey: SonoPath Summit 2022 – July 15-17, 2022, Andover, NJ
20-893111
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)
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
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)
Dietary Restrictions?
(Required)
No
Yes
Attending Virtually
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)
Proof of Vaccination or Negative Test
Max. file size: 50 MB.
Our current COVID policies are to please provide proof of double vaccination or negative Covid test w/in 72 hours of lab – text pic of negative test to 862.254.5082
Survey
Tell us what you would like to work on during the Sunday Mini Scanning Lab
(Required)
Abdomen
Echocardiogram
Orthopedic
Small Parts
FNA’s/biopsy procedures w/cadavers
Other
Select all that apply. You will be able to rotate through stations as well.
Are you familar with our SDEPĀ® Protocol?
(Required)
Yes
No
What is your current scanning level?
(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 SonoPath Summit?
(Required)
What do you hope to learn from the lectures?
(Required)
Does your practice currently have an ultrasound machine?
(Required)
Yes
No
What brand is your Ultrasound machine?
GE
Mindray Elite 8
Mindray NinjaSP
Esaote
Toshiba
Samsung
Phillips
Hitachi
Fuji
Wisonic
Sonoscape
Other
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 NinjaSP
I am interested in acquiring more probes
I am interested in a pricing consultation regarding the Mindray NinjaSP
I have other questions
Please list your questions here
How did you find out about our SonoPath Summit?
(Required)
Attended a lab before
Google Search
I received an email
Facebook
Linked In
Dr. Lindquist
A friend or colleague told me about it
Are you a current SonoPath's telemedicine client?
(Required)
Yes
No
Would you like information on SonoPath's telemedicine and virtual coaching services?
(Required)
Yes
No
Where will you be staying?
(Required)
We ask this for transportation purposes as well as guides for area activities for those guests of the attendees.
If staying at the Holiday Inn & Suites Newton/Sparta, will you be using the provided shuttle service from to and from the Holiday Inn & Suites Newton/Sparta to the Education Center during the weekend?
(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
Will you be joining us for the events after the lab day?
For planning purposes, please let us know if you would like to attend the following after lab days.
Friday, July 15th – Welcome Cocktail Reception
Taking place after the lab day – food, cocktails, fun and games at the Education Center. Please include if a guest(s) will be joining you and their name(s).
Saturday July 16th – Fun Dinner Night with beautiful views of Lake Mohawk
Taking place later in the day approx. 6:30pm in Lake Mohawk (about 15min away from Education Center). Please include if a guest(s) will be joining you and their name(s).
Saturday Kayak Adventure – 2 departure times 4:00pm or 5:00pm
(Required)
Kayak Adventure – YES, send me info to sign up
Kayaking Adventure – NO
Please let us know if you would like to participate. Cost is $40 – $63 (single or double Kayak) for 30 min. adventure. Location is Lake Hopatcong – about 20 min. from Education Center.
We are looking for your input as we start planning for the 2023 SonoPath Summit!
The SonoPath Summit will take place next year during the summer of 2023 in a new location with lectures only, we would love to hear your thoughts!
Destination?
Idea’s: North America, Europe, Tropical…
Subject Matter?
Suggested Speakers?
Anything else you would like to let us know? Any Questions?
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