SDA Certificate – NT CPD CERTIFICATE Thank you for attending a Swiss Dental Academy course. Please complete the following feedback to receive your CPD certificate. Email How would you rate the course overall? * 1 - Not Good 2 - Good 3 - Very Good Please give your suggestions, if any, on how we could improve this workshop? * Please provide a score for the following statements: This course has greatly improved my knowledge and understanding of the subject. * Strongly Disagree Disagree Neutral Agree Strongly Agree The course was pitched at the right level - not too simple or not too advanced. * Strongly Disagree Disagree Neutral Agree Strongly Agree I would recommend this course to others. * Strongly Disagree Disagree Neutral Agree Strongly Agree How do you rate the presenter? * Not Good Good Very Good Is there anything that you would have liked covered that was omitted? * In your view what was the most successful and/or useful aspect of this workshop? * Did you follow the GBT protocol before attending the course? * Yes No Did you use a plaque discloser prior to this course? If not, why and will you start to use one after this course? * Please provide a testimonial of at least 50 words regarding your experience at this Swiss Dental Academy Course to receive a FREE drink bottle’ * Name The entered name will be issued on the CPD Certificate. Email Specialisation Specialisation Dentist Dental Hygienist Oral Health Therapist Student Other Dental Practice Post Code State State NSW VIC QLD SA WA NT ACT TAS Not located in Australia Please provide an address where we should send the drink bottle to. * By providing your personal information, you agree to be contacted by EMS for marketing purposes in accordance with EMS' Privacy Policy. You will have the right to unsubscribe from EMS communications at any time.