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OBGYN.net has been selected as a featured site in Lightspan's StudyWeb as one of the best educational resources on the Web.

We are seeking a survey response from 500 women's health physicians to the following survey. From these 500, one winner will be drawn to receive a free congress registration to their choice of either The Fourth World Congress on Controversies In Obstetrics and Gynecology and Infertility in Berlin April 24-27, or the American Institute of Ultrasound in Medicine annual meeting in Montreal June 1-4 2003. This offer is available for both US and non-US physicians and does not include travel, hotel, or meals. It is limited to one free registration to the meeting of your choice. To enter please answer the following questions. You have a one in five hundred chance of winning.

Please Enter Your Contact Information for the drawing.
Name:
EMail:
Address1:
Address2:
City:
State:
Zip/Postal Code:
Country:

Please Answer Following Survey Questions.
1. What percentage of your female patients are between the ages of 30 to 45?
	0- 20% 20-40% 40-60% 60-80% 80-100%

2. The number of women I see each month in the 30-45 age group is approximately:
	0-25 women 25-50 women 50-75 women 75-100 women 100-150 women More than 150 (Please write in number)

3. Amongst the concerns voiced by my 30-45 year old patients I generally find that breast health and breast cancer :
	Is of no concern to my female patients Is of modest concern to my patients Is of significant concern to my female patients Is of major concern to my female patients Is often the major topic of concern to my female patients

4. My main area of focus is:
	General Obstetrics and Gynecology Mostly Obstetrics Mostly Gynecology General or Family Practice Surgery Oncology Other (Write in, please)

5. I practice medicine in:
	North America Latin America Middle East Asia East Europe West Europe Oceania

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