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Visitor Survey

You are invited to participate in this brief online survey about this website.
It will take about 5 minutes of your time, and help us improve how
PFA members and the visiting public are served.

1. Are you:

	a Pierre Fauchard Academy Fellow?
	a Dental Professional?
	a Dentistry student?
	a Dental patient?
	just interested in Dentistry?

2. What areas of this website do you find valuable? ( check all that apply )

	Publications
	Calendar of Events
	Newsletters online (Dental World)
	Section and Regional News Pages
	Dental History articles
	Dental Museum information

	PFA Dental Awards given each year
	Scholarships
	PFA Member Online Directory
	Leadership and Officer contact information
	Grant forms for projects
	Membership information

3. What else would you like to see on this website?

4. Any other Comments?

5. If you would like a response via email- what is your email address and name?

My Email Address
First Name
Last Name

6. If you have provided your email address above, would you like to be contacted about the professional requirements and nomination process required to become a Fellow in the Pierre Fauchard Academy ?

YES No

THANK YOU for your valuable feedback.