Touchpoint

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Speaker Assessment

Tier Group: Please select...

Questions	Source	Answers
1. Board Certified	Please select... Curriculum Vitae Biography Client Other	Yes No
2. Years of Clinical Experience	Please select... < 2 Years 2-6 Years 6-10 Years > 10 Years
3. Speaker is a Medical Director		Yes No
4. Associated with a teaching institution as...	Please select... Full Time Professor Assistant Professor Associate Professor None
5. Member of a national group (AMA, APA, etc.)	Please select... AMA APA Other None	Other:
6. Current/Previous advisory Board Member of ABC Company		Yes No
7. Number of publications	Please select... 1 2 3 4 5 6 > 6
8. Number od article reviews/chapters	Please select... 1 2 3 4 5 6 > 6
9. Travel nationwide	Please select... Curriculum Vitae Biography Client Other	Yes No
10. Clinical Trial Experience	Please select... Curriculum Vitae Biography Client Other	Yes No