American Neurogastroenterology and Motility Clinical Training Program Survey

Thank you for participating in this training program. We seek your assistance regarding how this Clinical Training Program has impacted your career. Please take a few minutes and answer these questions and click “Submit” at the end of the form. Your feedback is crucial for future development, grants and continuation of this program.

If you graduated from fellowship at the end of June, please include that information below and also let us know where and what type of position you started in July 2009.

Thank you!

Your Name
Are you in academia
If so, what rank and institution

Are you in Private practice: Please provide current/future address and or email address

Address
Email Address
Are you performing and/or interpreting motility procedures? If so, what type?
Any further comments on how the clinical training program may have assisted you in your career:
Do you have any suggestions for improving the clinical training program?
Are you a member of ANMS?
How can the ANMS assist you with your learning and practice of Neurogastroenterology & GI Motility: