Pre-Conference Survey

Email(Required)

INA Username

If you are an INA Member, please enter your username below.

Country of Origin(Required)

Please specify your professional status(Required)

What is your specialty focus?(Required)

Please specify your specialty focus(Required)

Type of Practice:(Required)

Please specify type of practice(Required)

Number of years in practice/research:(Required)

Please specify other clinical condition(s) seen in your practice(Required)

Please specify other clinical condition(s) injecting patients with botulinum neurotoxins(Required)

How long how you been injecting botulinum neurotoxin?(Required)

Please specify localization/guidance(Required)

Please identify your learning goals for this conference

Self-Assessment

Please rank your current ability to:

(A) Review the mechanisms of action and pharmacology of various botulinum neurotoxin serotypes and preparations, in order to understand their therapeutic effect

(B) Evaluate clinical data, evidence-based recommendations, and practical experience in the use of botulinum neurotoxins for multiple and diverse clinical conditions, in order to properly assess and select appropriate patients for neurotoxin therapy

(C) Demonstrate best practice procedures and techniques for neurotoxin injections, to improve clinical skills and optimize patient outcomes

(D) Promote interaction and cooperation among a wide range of scientific and clinical disciplines, to advance research and education relevant to the science and therapeutic application of botulinum and other neurotoxins

Clinicians

Please specify other clinical aspect(Required)

Basic Scientists

Please specify other knowledge aspect(Required)

What is the most important thing you would like to learn at this conference?

Self-Assessment

Clinicians

Basic Scientists

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