Medix KPI Contest

Note: If you do not respond to the email, you will receive a call a few weeks afterwards to complete the survey.

Thank you for participating in the Forum Research KPI Survey and sharing your feedback!

Your participation will help solidify the value of your diploma.

Once you have responded to the survey call, please fill this form to be entered into the draw to win an iPad (drawn annually in December). Contest entry names will be verified to confirm survey participation.

The Winner will be contacted by Medix College Career Services via phone call/e-mail.

Graduate Name (required)

Graduate Last Name (required)

Phone (required)

Email (required)

Medix Campus (required)

Medix Program

Date you participated in Forum Research Survey call(required)

What phone # appeared when you received the Forum Research survey call?

Agreement: I confirm that I participated in the Forum Research survey call on the date specified above. I understand that if it my participation cannot be validated, Medix College reserves the right to disqualify my entry from the draw.