DDDS Program Evaluation and CE Request Form for Dr. Andrea Tory Cracked Tooth Seminar January 18, 2022 Zoom participants
Thank you for participating in the Detroit District Dental Society presentation by Dr. Andrea Tory.
To receive a Continuing Education Certificate for this presentation, you must complete this survey with contact information to receive the emailed electronic certificate.
The CE certificate is optional, the survey may be submitted without contact information and if you wish to provide an anonymous evaluation of the presentation.
--Detroit District Dental Society, firstname.lastname@example.org, 313.338.4900; Marcy Dwyer, MBA, CAE, CMP, Executive Director
Open question for any additional feedback on the presentation.
Continuing Education (CE) Certificate
If you complete the required personal information to receive the CE certificate, the data will only be used for the dental association communication. Your personal contact information will never be released or sold to any third party outside the dental association.