CME Needs Assessment Survey

ACAM is committed to providing medical professionals with informative and up-to-date medical knowledge. Please help us improve the education we provide by filling out the needs assessment survey. Your response will help shape the educational programs ACAM provides.

* required information
CME Needs Assesment 
Please complete the fields below...
Last Name:*
State:*
ZIP/Postal Code:*
Country:
Suffix:*
How many years have you been in practice:* Student/Resident
<5
5-9
10-19
20+
Please check the TOP THREE educational topics of interest to you:* Chelation Therapy/Metal Detoxification
IV Therapy
Hyberbaric Oxygen Therapy
Autism
Oxidative Medicine
Nutrition
Legal Information
Hormone Replacement Therapy
Anti-Aging Medicine
ADHD
Prolotherapy
What educational / clinical topics not listed above are of interest to you?:*
Please indicate your preferred format for lecture materials:* Printed syllabus with presentation slides
USB Drive with PDF Versions of the syllabus
PDF of Syllabus available online prior to the conference
Would you be intersted in online CME if ACAM offered it:* Yes
No
How many hours of CME do you complete each year?:*
What is your biggest obstacle in obtaining CME:* Time of meeting
Location of meeting
Cost of meeting
Difficulty leaving practice
What days do you prefer to attend meetings?:* Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What other conferences do you attend?:*
Type the characters you see in the picture below:*
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