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The following questions are a survey and are completely optional.*

*To be eligible for the Medical Student, Resident, Fellow, or Attending Grand Prize, you must answer the first question below.
The "If this bracket is affiliated with a group, enter the name of that group here" question must be answered to be eligible for the Most Entries Group Competition.
The "If this bracket is a group entry, enter the group name followed by the word OFFICIAL" question must be answered to be eligible for the Highest Scoring Group Competition.
Click here for more information on Prizes.

Which best describes you? (optional but see above*)

HIGHEST SCORING Group Competition: If this bracket is a group entry, enter the group name followed by the word "OFFICIAL" (optional but see above*):

MOST ENTRIES Group Competition: If this bracket is affiliated with a group ((Fellowship Program, Residency Program, Group Practice, Medical School Group), enter the group name here (optional but see above*):

Do you intend to claim CME credits or MOC points (optional)?

If you went to, or are in, Medical School: (optional)

What is or will be your medical specialty? (optional)

What is your country of residence? (optional)

How would you best describe your gender identity? (optional)

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