EAI Experience Qualifying Questionnaire
1). How Many Years Have You Spent As A Licensed Acupuncturist?
*
I am not a licensed acupuncturist
0-2
2-5
5-10
10+
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2). Currently How Many Patients Do You Treat Per Week On Average
*
0-10
11-30
31-50
51-100
100+
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3). Are You Currently Combining Electric Stimulation With Your Treatments
*
Yes I Do
No I Do Not
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4). How Satisfied Are You Currently With Your Treatment Outcomes - 5 Extremely Satisfied, 1 Not Satisfied
*
1
2
3
4
5
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5). How Satisfied Are You Currently With The Success Of Your Practice - 5 Extremely Satisfied, 1 Not Satisfied
*
1
2
3
4
5
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6). How Committed Are You To Growing Your Skills & Success As An Acupuncturist- 5 Extremely Committed, 1 Not Very Committed
*
1
2
3
4
5
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Name
*
First Name
Last Name
Email
*
example@example.com
Submit
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