Name: Injectix
Rating: 5

Email

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What is your role?

Select all that apply.

Role*

RN

NP

PA

MD

DDS / DMD

Practice Owner

Practice Manager

Office Staff

Other

Which topic are you most interested in?

Topic of Interest*

Injectable Education

Regenerative & Functional Medicine

Business

Which areas would you like to focus on?

Areas of focus*

Marketing & Branding

Staffing

Financials

Choice number 4 does not have an image

Client Retention

Choice number 5 does not have an image

Sustainable Scaling

Choice number 6 does not have an image

Mentorship / Networking

What level are you currently at?

Experience Level*

Beginner

Intermediate

Advanced

Expert

I'm Not Sure

What kind of event are you interested in?

Kind of event*

Virtual

In person

Either

What length of event would you prefer?

Event Duration*

1 Day Intensive

Multi-Day Learning Experience

No Preference

How soon would you like to attend the event?

Soonest Attendance*

ASAP

In the next 3 months

In the next 6 months

In the next year

I'm open

Let us know where to send your event recommendations!

First Name*

Last Name*

Phone*

e.g. (555) 555-5555

Email Address*

e.g. email@domain.com

Location*

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Event Match Tool