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Community-Wide Women's Health Series Registration Form
Thursday, November 12, 7:45pm (this is a virtual event)
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Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Are you a graduate student?
Yes
No
Clear selection
What is your current profession?
Your answer
How did you hear about this program?
Your answer
Are you a Hadassah member?
Yes, Annual Member
Yes, Life Member
No, but I would like to hear more about membership
No
Clear selection
What other topics or areas of medicine/healthcare are you interested in for future health series events?
Your answer
Would you like to serve on the health series committee to plan future events?
Yes
No
Clear selection
If you are a health professional, would you like to volunteer to lead a future session and on what topic?
Your answer
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