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* 1. Name

First Name:

Last Name:

Email Address:

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* 2. My Specialty is:

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* 3. Please rate the items listed below:

	Excellent	Good	Satisfactory	Poor
Activity met my needs	Activity met my needs Excellent	Activity met my needs Good	Activity met my needs Satisfactory	Activity met my needs Poor
Activity made me want to learn more	Activity made me want to learn more Excellent	Activity made me want to learn more Good	Activity made me want to learn more Satisfactory	Activity made me want to learn more Poor
Activity valuable to me professionally	Activity valuable to me professionally Excellent	Activity valuable to me professionally Good	Activity valuable to me professionally Satisfactory	Activity valuable to me professionally Poor
Format facilitated learning	Format facilitated learning Excellent	Format facilitated learning Good	Format facilitated learning Satisfactory	Format facilitated learning Poor
Opportunity for participation was	Opportunity for participation was Excellent	Opportunity for participation was Good	Opportunity for participation was Satisfactory	Opportunity for participation was Poor
Audiovisual was	Audiovisual was Excellent	Audiovisual was Good	Audiovisual was Satisfactory	Audiovisual was Poor
Facilities were	Facilities were Excellent	Facilities were Good	Facilities were Satisfactory	Facilities were Poor
Overall activity rating	Overall activity rating Excellent	Overall activity rating Good	Overall activity rating Satisfactory	Overall activity rating Poor
I would recommend this activity to others	I would recommend this activity to others Excellent	I would recommend this activity to others Good	I would recommend this activity to others Satisfactory	I would recommend this activity to others Poor

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* 4. D1 - AN INVESTIGATION INTO THE ABILITY OF THREE ACCELEROMETRY-BASED DEVICES TO DETECT THE INCREASED ENERGY COST OF LOCOMOTION IN AMBULATORY ADULTS AND CHILDREN WITH CEREBRAL PALSY
Jennifer Ryan, B.Sc. (Physio); Ailish McGahey, B.Sc. (Physio); Brenda McLoughlin, B.Sc. (Physio); Michael Walsh, MMedSc; John Gormley, PhD

	Agree Strongly	Agree	Neutral / No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral / No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral / No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral / No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 5. D2 - VALIDITY OF THE RT3 ACCELEROMETER AT MEASURING PHYSICAL ACTIVITY INTENSITY IN ADULTS AND CHILDREN WITH CEREBRAL PALSY
Jennifer Ryan, B.Sc (Physio); Ailish McGahey, B.Sc. (Physio); Brenda McLoughlin, B.Sc. (Physio); Michael Walsh, MMedSc; John Gormley, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 6. D3 - HOW ACTIVE ARE THEY? VALIDATION AND COMPARISON OF UNI- AND TRIAXIAL ACCELEROMETERS IN TODDLERS WITH CEREBRAL PALSY
Kristie L. Bell, PhD; Stina Oftedal, RD; Peter S. Davies, PhD; Robert Ware, PhD; Roslyn N. Boyd, PhD PT

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 7. D4 - A GAIT-ACTIVATED NEUROMUSCULAR STIMULATION DEVICE IMPROVES STRENGTH, MUSCLE GROWTH AND ELASTICITY IN CHILDREN WITH HEMIPARETIC CEREBRAL PALSY
Nathalie L. Maitre, MD PhD; Shirley Gogliotti, PT; Ellen Shaw, DPT; Laura Flynn, PT PCS; Ashley Schilling, DPT; Cherri Rooks, MSPT; Jeremy Chan, BS; Emily Bush, BA; Erica Wehrwein, PhD; Bruce Damon, PhD;

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 8. D5 - CONTROL OF WALKING SPEED IN CHILDREN WITH CEREBRAL PALSY
Jon Davids, MD; Suzy Chen, BS; Mitell Sison-Williamson, MS; Anita Bagley, PhD MPH

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 9. D6 - CHANGE IN STRENGTH-TO-WEIGHT RATIO WITH AGE IN AMBULATORY CHILDREN WITH CEREBRAL PALSY
Jon Davids, MD; Donna Oeffinger, PhD; Anita Bagley, PhD MPH; Mitell Sison-Williamson, MS; George Gorton, BS

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 10. D7 - CHANGES IN SECONDARY EFFECTS OF LEVER-ARM DYSFUNCTION IN CHILDREN WITH SPASTIC DIPLEGIA FOLLOWING BILATERAL FEMORAL DEROTATION OSTEOTOMIES
Jean L. Stout, PT MS; James R. Gage, MD; Tom Novacheck, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 11. D8 - PREDICTING CHANGES IN GAIT ASSOCIATED WITH ANKLE FOOT ORTHOSIS USE IN CHILDREN WITH CEREBRAL PALSY
Andrew Ries, MS; Michael Schwartz, PhD; Tom Novacheck, MD; Adam Rozumalski, MS

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 12. D9 - THE PHYSIOLOGIC STRAIN OF WALKING IN CHILDREN AND YOUTH WITH CEREBRAL PALSY
Nancy Lennon, M.S., P.T.; Freeman Miller, MD; Kirk Dabney, MD; John Henley, PhD; Katherine Sommers, B.S.

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 13. D10 - GAIT PATTERNS IN DIPLEGIC SPASTIC CEREBRAL PALSY - A CLASSIFICATION BASED AT 1805 CASES
Mauro C. Morais Filho, MD; Catia M. Kawamura, PT; José Augusto F. Lopes, MSc; Daniella L. Neves, MD; Michelle Cardoso, MD; Jordana Caiafa, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 14. What are the three most important things you learned from these sessions?

1)

2)

3)

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* 15. How will these sessions enhance your professional effectiveness?

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* 16. How could this CME activity be improved?

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* 17. What topics would you suggest be presented in future CME activities?

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* 18. Were the sessions presented objectively and fairly?

Yes

No (please explain)

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* 19. Was disclosure of faculty and commercial support relationships made known to you?

Yes

No (please explain)

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* 20. Was disclosure of unapproved/investigative use(s) of commercial product(s), device(s) made?

Yes

No (please explain)

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* 21. Additional Comments or Suggestions:

Thank you for your feedback