Request a PAT Education Program

 


PAT Educational Interests Questionnaire

Personal Information
Name *
First Last
Title
 Mr. 
 Mrs. 
 Ms. 
 Dr. 
 Prof. 
Address *
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Phone Number *
### - ### - ####
Email *
Job Title

PAT EXPERTISE

In order to assess what program(s) are suited for you, please, answer the following questions regarding your past experiences in PAT.
Have you attended our Pat Certification? *
 Yes 
 No 
List any PAT seminars/courses you have attended.
In the scale from 1-5, 5 being the highest, rate your considered level of expertise in PAT. *
 1 
 4 
 2 
 5 
 3 

INTERESTS
Which of these topics interests you? *
 General PAT/QbD Overview 
 Design of Experiments 
 Risk Based Assessment 
 Multivariate Analysis 
 Regulatory Guidances 
 PAT System Life-Cycle 
 Chemometrics 
 PAT Analyzers 
 Other 
If other was selected, please describe.
What type of educational option is desired? *
 PAT Certification 
 Seminar 
 SME (Subject Matter Expert) Certification 
 Other 
If other was selected, please describe.
Are you interested in a program tailored made for your plant? *
 Yes 
 No 

CONTACT FOLLOW-UP
How can we better contact you? *
 Phone 
 E-mail 
 Schedule Meeting 
 Other 
If other was selected, please describe.
Are you interested in e-mail updates of our PAT educational activities? *
 Yes 
 No 
Are you interested in receiving our PAT News-Letter? *
 Yes 
 No 

ANYTHING WE MISSED?
If there is anything else you will like us to know, please, use this space. We are committed to answering our customers’ needs.

THANK YOU FOR ANSWERING OUR QUESTIONNAIRE!
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