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Date of Birth

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Gender
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How did you hear about Oftalmo University?
—Please choose an option—Word of MouthWebinarsSocial NetworksPresence in CongressOther

Highest Educational Level:
—Please choose an option—1st year Resident2nd year Resident3rd year Resident4th year ResidentOngoing FellowshipCompleted Fellowship

Year you obtained your Medical degree:

How many years of experience do you have working as an ophthalmologist?
—Please choose an option—Not an ophthalmologist yetLess than 2 years2 to 5 years5 to 10 yearsMore than 10 years

Experience in PHACO surgery:
—Please choose an option—NoneOnly partial cases1 to 20 complete cases21 to 50 complete cases51 to 100 complete cases101 to 300 complete casesMore than 300 complete cases

Experience in MSICs surgery:
—Please choose an option—NoneOnly partial cases1 to 20 complete cases21 to 50 complete cases51 to 100 complete cases101 to 300 complete casesMore than 300 complete cases

Experience in EECC surgery:
—Please choose an option—NoneOnly partial cases1 to 20 complete cases21 to 50 complete cases51 to 100 complete cases101 to 300 complete casesMore than 300 complete cases

How do you rate yourself on: Public Speaking Skills (1 to 5)
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How do you rate yourself on: Critical Thinking (1 to 5)
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How do you rate yourself on: Manual Dexterity (1 to 5)
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How do you rate yourself on: Teamwork (1 to 5)
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How do you rate yourself on: Problem Solving (1 to 5)
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How do you rate yourself on: Thinking out of the Box (1 to 5)
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