8th Annual Neurotrauma Course -              Pre-Course Questionnaire
Please note that your registration will be confirmed only after completion of this questionnaire
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Please write your Full Name *
Please write your E-Mail Address *
Please write your WhatsApp number *
Which channel do you want us to use for further communications? *
How many times did you attend the course in the past? *
How did you hear about the event *
In which country do you currently practice? *
In which hospital do you currently practice? *
What is your speciality? *
What is your current qualification *
For how long have you been practicing your current qualification? *
Do you plan to attend the course on: *
Yes
No
Monday 21
Tuesday 22
Wednesday 23
Thursday 24
Friday 25
Do you plan to attend the Gala dinner? *
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