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SEMINAR EVALUATION FORM We greatly value your op 1. By filing out this survey, you can help us ta build better seminar. 11. How did you come to know about this seminar? ‘Though Ads [E-mail Associations, ee) Recommendation bya calleague NAME Recommendation by Sales Person nae Other, Please mention 2, What did you like best about this particular seminar? 3, What topics would you like covered in future seminars? 4, Please rate your level of satisfaction with the followin Registration 1D eveevvewr 1) verv e000 000 AR Poor Venue exceLLenT 1) very a000 3 0000 yPAR Poor Agenda EXCELLENT 2 veRy 6000 6000 rue) Poor Speckers (C1 veRY coon 6000 Cora =) Poor currcuiom ic) veRY 6000 [3 6000 cea } Poor Length ofthe sessions 1 eweLLenT 1 very 6000 6000 Fan Poor Hands-on Course 1 FXGELLENT vee 6000 [3 6000 rar (Poor Live Surgery 5 EXCELLENT veRy 6000 4 6000 FRNR fj POOR, 5. Do you have plans to start practicing implantology immediately after this seminar? If not, Why? 6, Asa result of your experience with our seminar, what improvements can you recommend? NAME |

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