AO North America

Pre-Course Questionnaire

This must be completed for registration form to be processed.

HOW MANY YEARS IN PRACTICE?:

or

PGY:

HOSPITAL/UNIVERSITY AFFILIATION:

PRIVATE PRACTICE:

OTHER:

PERCENTAGE OF PRACTICE DEVOTED TO SPINE SURGERY?:

ARE YOU CONSIDERING SPINE SURGERY AS A CAREER CHOICE?:
YES
NO

WHAT ARE YOUR EXPECTATIONS FOR THE UPCOMING AO ASIF COMPREHENSIVE SPINE COURSE?
WHAT DO YOU EXPECT TO LEARN THAT WOULD BENEFIT YOU IN YOUR PRACTICE?
PLEASE EXPLAIN IN AS MUCH DETAIL AS POSSIBLE:

Press this button to submit your request:

Thank you for your interest!