CDT Credit Form   

Posterior Waxing Technique

Team Aesthetic Education

Please fill out the following form for continuing educational credits

First Name	*
Last Name	*
Transaction ID # (This is on the email sent to you after purchasing the video)	*
CDT Number	*
Email Address	*
Telephone	*
Date Viewed	*
1. Did you enjoy the video?		A. yes B. no
2. Did you find the video educational?		A. yes B. no
3. Would you refer this to others?		A. yes B. no
4. Did the video play well?		A. yes B. no
5. How many units did Matt wax in this video?		A. 1 B. 2 C. 3 D. 4
6. Does most of the anatomy happen in hot wax?		A. yes B. no
7. Does the wax that is used in this video turn opaque when liquefied?		A. yes B. no
8. How long does it take Matt to wax the 3 posterior cronws in this video?		A. 15 minutes B. 1 hour C. 25 minutes D. none of the above
9. Is the maxillary prep a full crown prep?		A. yes B. no
10. Is the mesial contact the best place for the spur on an inlay prep?		A. yes B. no
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