Learning Goals Questionnaire

Help Us Make Your FCOM Workshop Even Better!

To help us better understand your cochlear implant experience and learning goals for your Thursday workshop, please take a moment to submit your responses below by Tuesday, October 5.

Registrant Name(Required)
How many years of cochlear implant experience do you have?(Required)
Approximately how many cochlear implant patients do you personally work with in a typical month?(Required)
Which types of CI patients do you currently work with? Select all that apply.(Required)
NoneLimitedModerateExtensive
Cochlear
MED-EL
Advanced Bionics
Which CI system would you most like additional hands-on experience with during the workshop?(Required)
What are you most hoping to gain from the Pre-Con CI workshop? Select up to 3.(Required)