0 Tell me a little bit about yourself… First Name*Last Name*Email* Enter Email Confirm Email Which exam are you taking?*INITIAL CertificationMOC Recertification (traditional, 4-hours, at a test-center)MOCA Recertification (at home recertification)Non-American Board of Pediatrics ExamMy exam is not listed hereHow many times have you taken this exam before?*Never. This will be my first time.One timeTwo timesThree timesMore than three timesI'd like to help further. Based on the above answers, it seems like you may have failed this exam previously. When was the last time you failed this board exam?*When selecting an answer below, please note answer based on the calendar year that you took the exam.I've never failed this exam before.This calendar yearLast calendar yearTwo years agoIt's been more than two yearsHow did you hear about PBR?*What was it about today that made you decide that today was the day you wanted to, or needed to, sign up for a board review course?*Why have you decided to use PBR over other available resources?*Approximately when do you plan on taking your boards?*The Initial Certification exam is usually in mid-October. Recertification deadlines are usually at the end of December. Feel free to just put in the first day of the month if you don't know your exact date. Or choose a date in 2038 if you have no idea 🙂 Date Format: MM slash DD slash YYYY Want up to $250 per qualified new member that you send to us?We are about to release a program that allows you AND your friends/peers to get up to $250 per new PBR member who signs up through a personalized referral link just for you. Meaning, YOU would get $250 and the person you refer would ALSO get $250.Yes! Please create my referral link ASAP and send me details about the program.No thanks. I'm not interested in a referral link at this time.Have you previously asked for a personalized referral link?*Yes. I asked for one and I don't have one yet.Yes. I asked for one and I have one already.No. This is the first time I'm asking for one.What is the first and last name that should be used for your referral account and rewards?* First Last Your personal referral link will results in rewards being sent to you by email. Which email address would you like to have associated with your personalized referral link?* Want us to reach out about CME in the future?PBR is now approved for over 200 CME credits and MOC points. Like all of our efforts, the resources are high quality, easily accessible from home, and efficient to use/claim.YesNoWhen would be a good time for us to reach out about CME?*When will your CME funds replenish, or when do you need to have your CME fulfilled next? Date Format: MM slash DD slash YYYY What is your approximate CME fund/budget?
