Breast & Gynecology Evaluation Survey

Full Name *

What is your current role? *

Kindly Specify *

How many years of experience do you have in MRI Imaging? *

Please rate your current knowledge or confidence in the following areas (1 = no knowledge, 5 = expert): *

	No knowledge	Basic knowledge / low confidence	Moderate knowledge / somewhat confident	Advanced knowledge / confident	Expert knowledge / highly confident
Appropriate Imaging techniques for assessment of Gynaecological pathology	Appropriate Imaging techniques for assessment of Gynaecological pathology - No knowledge	Appropriate Imaging techniques for assessment of Gynaecological pathology - Basic knowledge / low confidence	Appropriate Imaging techniques for assessment of Gynaecological pathology - Moderate knowledge / somewhat confident	Appropriate Imaging techniques for assessment of Gynaecological pathology - Advanced knowledge / confident	Appropriate Imaging techniques for assessment of Gynaecological pathology - Expert knowledge / highly confident
Knowledge of Gynaecological MRI protocols	Knowledge of Gynaecological MRI protocols - No knowledge	Knowledge of Gynaecological MRI protocols - Basic knowledge / low confidence	Knowledge of Gynaecological MRI protocols - Moderate knowledge / somewhat confident	Knowledge of Gynaecological MRI protocols - Advanced knowledge / confident	Knowledge of Gynaecological MRI protocols - Expert knowledge / highly confident
Anatomy of female pelvis on MRI	Anatomy of female pelvis on MRI - No knowledge	Anatomy of female pelvis on MRI - Basic knowledge / low confidence	Anatomy of female pelvis on MRI - Moderate knowledge / somewhat confident	Anatomy of female pelvis on MRI - Advanced knowledge / confident	Anatomy of female pelvis on MRI - Expert knowledge / highly confident
Common gynaecological pathologies on MRI	Common gynaecological pathologies on MRI - No knowledge	Common gynaecological pathologies on MRI - Basic knowledge / low confidence	Common gynaecological pathologies on MRI - Moderate knowledge / somewhat confident	Common gynaecological pathologies on MRI - Advanced knowledge / confident	Common gynaecological pathologies on MRI - Expert knowledge / highly confident
Interpretation of Endometriosis	Interpretation of Endometriosis - No knowledge	Interpretation of Endometriosis - Basic knowledge / low confidence	Interpretation of Endometriosis - Moderate knowledge / somewhat confident	Interpretation of Endometriosis - Advanced knowledge / confident	Interpretation of Endometriosis - Expert knowledge / highly confident
Evaluation of ovarian masses	Evaluation of ovarian masses - No knowledge	Evaluation of ovarian masses - Basic knowledge / low confidence	Evaluation of ovarian masses - Moderate knowledge / somewhat confident	Evaluation of ovarian masses - Advanced knowledge / confident	Evaluation of ovarian masses - Expert knowledge / highly confident
Staging of gynaecological malignancies	Staging of gynaecological malignancies - No knowledge	Staging of gynaecological malignancies - Basic knowledge / low confidence	Staging of gynaecological malignancies - Moderate knowledge / somewhat confident	Staging of gynaecological malignancies - Advanced knowledge / confident	Staging of gynaecological malignancies - Expert knowledge / highly confident

What do you hope to learn or improve from this workshop? *

Are there any specific topics or cases you want covered? *

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