CEU/Event Interest Form
We want to hear from you! What CEUs or events are you most interested in?
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What topics related to PFA/SBT, assent-based care, and related processes do you want to learn more about?

(List as many as you'd like!)
How interested are you in the following types of events?
1 (minimal interest)
2
3
4
5 (highly interested)
Recorded CEUs
Live CEUs
Open Q&A "hangouts" (no CEUs/recording)
Topic specific "hangouts" (no CEUs/recording)
In-depth workshops
Article Reviews
Case Study presentations
Clear selection
Are there any types of events you are interested in that we did not list?
What days/ times are you most likely to attend a live event? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8am - 12pm EST
12pm - 3pm EST
3pm - 6pm EST
6pm - 10pm EST
If there is a topic YOU would like to present for the group, copy/paste the link below to complete the CEU application or input your email so we can send you the application to complete at a later time.

Application: https://forms.gle/sZZdPsReFfMT9GGg9
Any additional feedback you would like to provide?
Submit
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