Questions on the Med Society Application
- Basic Info
- Contact Info
- First Name
- Last Name
- Birthday
- Gender
- Languages you speak
- Home Address
- Address
- Address 2
- City/Town
- State/Region/Province
- Zip/Post Code
- Country
- Medical Society Interest
- Contact Info
- Medical Information (if applicable)
- Your specialties
- Published Articles/Reports
- Board Certifications
- Practice Information (if applicable)
- Address of Practice
- Address
- Address 2
- City/Town
- State/Region/Province
- Zip/Post Code
- Country
- Hospital Affiliation
- Insurance Accepted?
- Insurances Accepted
- Work with Special Interest Groups?
- Hours of operation
- Type of Practice
- Current Postion
- What is the average amount of time you spend with a patient?
- How many other doctors work in your practice (if applicable)
- What other specialties are offered at your practice? (if applicable)
- Address of Practice
- Doctors – General Info
- Why Did You Become a Doctor?
- What areas of medicine/science are you concerned about?
- What area of medicine/science are you pleased with?
- What brought you to the Broken Science Initiative?
- Personal Info
- Non Medical Certifications
- Your Diet
- Diet (if other)
- Exercise Routine
- Favorite book on health
- Biggest concern with modern healthcare system
- Your wish for a future medical system
- Interests and Hobbies
- Research Interests
- Hobbies
- Reason for joining the BSI Medical Society