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About
About SGS
Our Team
Speakers
Seminars
CE Course Info
CE Webinar Info
Upcoming Seminars
CE Online Courses
NEWS & MEDIA
Photos
Videos
Latest News
Studies
Products
All Products
SGS Dental Sleep Medicine Package
Acoustic Pharyngometer / Rhinometer
Watch-PAT 300
SleepMed ARES
Supplies & Accessories
Dental Sleep Medicine Websites
Business Listing Optimizer
Client Portal
SLEEP BLOG
CONTACT
Dental Sleep Seminar Course Evaluation
Step
1
of
2
50%
Course Location
*
Please select the SGS Representative for this course.
*
John Nadeau
Michael Campbell
Raymond Champ
Rebecca Layhe
Robert Zatyrka
Terrance Henry
N/A
Your Information.
Are you a Doctor or Staff Member?
*
Doctor
Staff Member
Name
*
First
Last
Email
*
Company / Practice Name
*
Cell Phone #
Office Phone #
*
Tell us about your experience.
Please rate each answer below from 1 (Strongly Disagree) to 5 (Strongly Agree)
Meeting site was adequate in size, comfortable, and convenient
*
1
2
3
4
5
Course speaker was efficient and friendly
*
1
2
3
4
5
Course objectives were consistent with the course as advertised
*
1
2
3
4
5
Instructor demonstrated a comprehensive knowledge of the subject
*
1
2
3
4
5
Instructor encouraged questions and participation
*
1
2
3
4
5
Handout materials enhanced course content
*
1
2
3
4
5
Overall, I was satisfied with this speaker
*
1
2
3
4
5
The best thing about this seminar was:
The part of the seminar that needs improvement is:
What is motivating you to get involved with dental sleep medicine?
Please rate each answer below from 1 (Least Important) to 5 (Most Important)
I want to increase practice revenue.
*
1
2
3
4
5
I am being asked by physician colleagues to offer this service.
*
1
2
3
4
5
I am being asked by patients and feel like I need advanced training to help them properly.
*
1
2
3
4
5
I am aware this is a huge unmet medical need in my patient population and want to help save/extend lives.
*
1
2
3
4
5
I am looking to retire and/or slow down general dentistry and this is an appealing alternative.
*
1
2
3
4
5
I am looking for services that are less physically taxing on me than general dentistry due to health limitations (neck, back etc…).
*
1
2
3
4
5
Why did you choose to attend this specific seminar?
Please check all that apply.
I needed CE credits.
The date/location was convenient and local to me.
The location was somewhere I needed/wanted to travel to.
Wanted to see this specific speaker.
The price was right.
I feel like the part of Dental Sleep Medicine I was most interested in learning about was:
Please rate each answer below from 1 (Least Important) to 5 (Most Important)
Selecting the proper appliance & pro’s / con’s of appliances.
*
1
2
3
4
5
Working/communicating with physicians.
*
1
2
3
4
5
The clinical protocol (clinical records, bite registration etc…).
*
1
2
3
4
5
The administrative protocol (Documentation, appointment flow etc..).
*
1
2
3
4
5
Mitigating appliance therapy side effects (tooth movement, bite change, pain).
*
1
2
3
4
5
Getting paid by medical insurance.
*
1
2
3
4
5
One last thing.
Were you already treating patients with sleep disorders before the seminar?
*
Yes
No
How many sleep appliances had you made to help patients with snoring/sleep apnea?
*
None
0-5
5-15
15-25
25-100
100+
Are you planning on getting started with the SGS dental sleep medicine program in your practice?
*
Yes
No
Why or Why Not? Enter details here..
Are you a member of a study club?
*
Yes
No
Would your group be interested in SGS sponsoring a lecture about sleep? Enter details here..
How did you hear about us?
*
Altavista
Bing
Email
Facebook
Fax
Google
Friend / Colleague
LinkedIn
The Sleep Magazine
Print Publication
Twitter
Webinar
Other
Please enter name or additional detail from your response above.
Did we meet your goals for what you intended to learn at the seminar?
Yes
No
Would you recommend this course to a friend/colleague?
*
Yes
No
Any comments or suggestion for us?
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