New Beginnings Fertility Conference 2009, Tampa, Florida

Phone (813) 914-7304 - 8:30 a.m. and 5 p.m. EST

New Beginnings Conference Survey

How did you hear about this conference?	Doctor's Office Support Group Church Newspaper T.V. Radio Direct Mail ART Program Other (please list below)
If you checked "Doctor's Office", please list which doctor.
If you checked "Support Group", please list which group.
If you checked "Church", please list which church.
If you checked "Newspaper", please list which newspaper.
If you checked "T.V.", please list which T.V. Station.
If you checked "Radio", please list which radion station.
If you checked "Other", please explain.
Are you currently or have you previously been a patient at The Reproductive Medicine Group?	Yes No
After hearing Dr. Domar’s presentation, would you be interested in attending a local Mind/Body session here in Tampa?	Yes No
What was especially helpful/informative in today’s program?
What topics would you like to have addressed in future programs?
What type of program/format would you prefer?	Lecture sessions only Lectures and then break out sessions/workshops Other
If you checked "Other", please explain.
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