RBMA Paradigm 2019
  • Personal Information
  • *First Name
  • *Last Name
  • *Title
  • *Company
  • *Mobile Phone #
  • *Email Address
  • *

    Radiology Organization Type

  • *What is your preferred method of contact?
    • Assistant's Name
    • Assistant's Phone
    • Assistant's Email
  • About Your Organization
  • How many locations are in your practice?
  • If you could change one thing about your current healthcare technology solutions at ${Q-BL}, what would it be?

  • Areas of Interest
  • What are you interested in seeing at RBMA?
  • What areas of Patient Engagement are you interested in?
  • Why are you attending RBMA?

That's all, folks!

* End page and disqualification logic can only be seen in the live survey