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Attendees survey

The information provided is very important for us.

 

The survey will be used:

. to Improve your learning experience during the course

. to better define the course educational objectives

 

The survey is strictly confidential, it will not be divulged to third parties.

I am sure of your cooperation, and I look forward to meeting you personally

and share our passion for continuing education.

 

The survey should be forwarded to info@lakecomoinstitute.com as soon as possible.

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Attendees survey
1

Course

Please specify the course date
2

Name and Surname

3

E-mail address

4

Cell phone number

5

Website

6

Social contacts

Facebook, Instagram, LinkedIn etc
7

Age

8

Year of graduation and Speciality

9

Private practice owner

Select one or more answers
10

"If you answered yes to the previous question "Private practice owner", please specify"

Company name, address, phone number, website etc
11

Percentage of time spent for each specialty per year

Fill all following fields
12

Do you use any software for implant diagnosis and planning?

Select one answer
13

Do you perform Piezosurgery?

Select one answer
14

Average number of implants placed per year

15

Do you perform regenerative procedures?

Select one answer
16

Average number of regenerative procedures per year:

Fill all following fields
17

Which biomaterials do you preferably use?

18

Please feel free to add any additional suggestion you might have:

19

Please add your short CV

A summary of your education, work experience, skills, qualifications etc
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