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Dr Samir Chaukkar
M.D.(Homeopathy) H.M.D.(UK)
F.B.I.H(UK),DND, P.G.Hom (London)
P.G.Addictions Treatment (Canada)
Seminar Questionnaire
Dr Samir Chaukkar, an experienced Indian Homeopath from Mumbai, who has studied and lectured
internationally will be bringing his seminars to the UK.
Potential topics that will be included in these seminars are: Sensation Method, Kingdoms,
Addiction, Autoimmune Diseases, Allergies, Skin - including Eczema, Psoriasis, Vitaligo & Acne,
Hair loss, PCOS & Infertility, Materia Medica & Differentiation, Remedy Reactions, The Second
Prescription, Clinical Tips and Case examples.
In order to ensure optimum satisfaction for all delegates he would appreciate your completion and
return of the brief questionnaire below.
All seminars would carry CPD certificates.
We thank you for your kind co-operation and look forward to seeing you in the very near future.
Warmest wishes
Dr Samir Chaukkar
1a Please circle which of the months below you could attend a
seminar in Cornwall
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Oct
Nov
Dec
1b Please circle which of the months below you could attend a
seminar in London
Jan
2
Feb
March
May
June
Monday
Weekends
Tuesday
Saturday
Aug
Sept
Wednesday
Thursday
Sunday
Friday
Saturday & Sunday
Please circle whether you would prefer to attend
1 day seminar
4
July
Please circle when you would be able to attend a seminar
Weekdays
3
April
2 day seminar
Which of the venues below would facilitate your attendance at seminars
in Cornwall? Please circle your two choices.
Bodmin
Bude!
Launceston
Liskeard
Saltash
Truro
Please indicate below any further suggestions that you feel would enhance your
experience.
Dr. Samir Chaukkar
HollisticHealthSolutions
Please return your completed questionnaire:
Sheila Cooper, Gentle Homeopathy,
39 High Street, Delabole, Cornwall,
England PL33 9AA
sheila@gentlehomeopathy.com
