Medical Chinese Organization Interest Form

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Medical Chinese Organization Interest Form

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* Indicates required question

Name (first and last) *

Your answer

Email *

Your answer

Cell Phone Number *

Your answer

Year *

M0 (MD/MPH)

M1

M2

M3

M4

MSMP

Nursing (BSN, ABSN, MSN, etc.)

What is your Mandarin proficiency level? *

Beginner

Intermediate

Novice

Advanced

How many years of Chinese education have you had? *

0

<1

1-2

3-5

5+

Any topics you'd like for us to cover in particular?

Your answer

Questions/comments?

Your answer

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