E-School Observation Registration

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Welcome to your E-School Observation Registration

Full Name

Practice / School / Organization Name

Country of Practice

Current Role (Select that apply)

Dental Student

General Dentist

Specialist

Practice Owner

Assosciate

Other

Other Role (If selected Other)

What best describes why you’re interested in observing Dr. Chopra?

(Select all that apply)

I’m considering endodontics and want to see what it’s really like

I want to observe an efficient, modern endodontic practice

I want to improve my clinical decision-making and diagnosis

I’m interested in business, systems, or leadership efficiencies

I want clarity on whether E-School or another program is right for me

Which angle are you most interested in observing?

Clinical

Business / Leadership

A blend of both

Not sure yet

Have you participated in any of Dr. Chopra’s programs before?

Free training / webinar

E-School Independent

E-School with Coaching

E-School LIVE / LIVE Hands-On / LIVE 1:1

Is there anything that currently prevents you from participating in hands-on or live-patient courses?

(Optional – helps us guide you appropriately)

Travel limitations

Malpractice restrictions

Budget considerations

Schedule constraints

None

Prefer not to say

If accepted, which days would you generally be able to attend?

(Choose all that apply)

Mondays

Tuesdays

In your own words: Why do you want to observe Dr. Chopra’s practice?

Please confirm the following:

I understand this is observation only (no assisting, no patient care)

Please confirm the following:

I understand this experience takes place on a Monday or Tuesday only

Please confirm the following:

I understand travel and lodging are not included

Please confirm the following:

I understand this experience is not a replacement for E-School

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