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2026 Outreach Trips
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About
Local/Global
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Global
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Events
Red Maple Roots Outreach
Colorado Outreach
Campaigns
Malawi Capital Campaign
Mexico Capital Campaign
Tanzania Capital Campaign
Zambia Capital Campaign
Students
Post-Trip Survey
HTC: Post-Trip Survey
What was name of the humanitarian trip?
(Required)
Select a Trip
Mexico - July 2026 (BIMBO)
Mexico - August 2026 (BIMBO)
Malawi - August 2026
Jordan - September 2026
Guatemala - October 2026
Mexico - October 2026
Jamaica - October 2026
Brazil - October 2026
Tanzania - November 2026
Mexico - Feb 2027
If you attended the business discussion during retreat days, do you want a certificate/CEUs as proof of attendance?
Yes
No
What is your AAA member number
(not to worry if you don't remember). Or write N/A
First Name
Last name
State
Select State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Email
What are 2 things that you learned that will you do differently (or begin to incorporate) in your practice?
How satisfied were you with the trip overall?
(Required)
1
2
3
4
5
6
7
8
9
10
1 = Not Very; 10 = Very Much
How satisfied were you with the following?
(Required)
1
2
3
4
5
NA
Pre-trip communication
Accommodations
Food
Length of trip
Number of clinic days
Sponsor
1 = Very disatisfied; 5 = Very satisfied
Any Comments?
How likely are you to attend another humanitarian trip with Entheos?
(Required)
1
2
3
4
5
6
7
8
9
10
1 = Very Unlikely; 10 = Sign me up!
How likely are you to attend another humanitarian trip to this location?
(Required)
1
2
3
4
5
6
7
8
9
10
1 = Very Unlikely; 10 = Sign me up!
Did you feel the trip was well organized?
(Required)
1
2
3
4
5
6
7
8
9
10
1 = Not at all; 10 = Absolutely
Comments?
What was your favorite clinical assignment?
(Required)
Intake
Screening
Ear cleaning
Testing
Earmolds
Fitting
Counseling
Patient records
Patient runner
Traffic cop
I don't have a favorite
What was your least favorite clinical assignment?
(Required)
Intake
Screening
Ear cleaning
Testing
Earmolds
Fitting
Counseling
Patient records
Patient runner
Traffic cop
I don't have a least favorite
What equipment or supplies do you wish were available to you?
If you could change one thing about the trip, what would it be?
(Required)
What surprised you most about the trip?
(Required)
Did you feel you were able to contribute and experience enough clinical impact on the trip?
(Required)
1
2
3
4
5
1 = Not at all; 5 = Absolutely
Comments
In your opinion, was the trip worthwhile?
(Required)
Yes
No
In your opinion, do you feel we made a difference?
(Required)
Yes
No
Any other overall feedback for the event?
Name (optional)
Opportunity ID
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Opportunity ID
