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Phlebotomy Workshop Application form
Date - 31/08/2023
Time - 4:30 - 5:30
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* Indicates required question
Name and Surname
*
Your answer
Email
*
Your answer
MD Year
*
MD2
MD3
Intercalated Year
MD4
MD5
How many SCOME phlebotomy workshops have you attended in the past?
*
None
1
2
3
More than 3
Rate your knowledge about phlebotomy
*
Poor
1
2
3
4
5
Excellent
What are your expectations for this workshop ?
*
Your answer
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