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Releasing Chaotic Energy Course Evaluation (required for CEUs)

Thanks so much for your participation in our online Releasing Chaotic Energy class! If you would like to receive our certificate of completion and/or NCCAOM CEUs (for acupuncturists), complete this evaluation form and then take the quiz below. Thank you!

Acupuncture CEUs – Evaluation Form (required)

Please complete this form in order to receive CEUs from the NCCAOM or California Acupuncture Board. If you are a licensed practitioner and require your license information to be displayed on your certificate, please enter that information in the space provided below.

Name(Required)
Do you want NCCAOM CEUs?(Required)
Do you want California Acupuncture Board CEUs?(Required)
Which class did you attend?(Required)
Please select one

Are you currently …(Required)
Please select all that apply
What other Chinese Medicine topics are you interested in?
Please select all that apply
May we use your testimonial on our website?
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