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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. C1 - THE IMPACT OF COMPLEMENTARY AND ALTERNATIVE MEDICINE ON HIP DEVELOPMENT IN CHILDREN WITH CEREBRAL PALSY
Kate Willoughby, BPT DPT; Kim Jachno, BSc PGBiostats; Soon Ghee Ang, MBBS; Pam Thomason, BPT MPT; H Kerr Graham, MD FRCS (Ed) FRACS

	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. C2 - RADIOLOGICAL OUTCOME OF HIP SURGERY IN CHILDREN WITH GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM (GMFCS) IV AND V CEREBRAL PALSY
Nichola C. Wilson, MD FRACS; Shiran Zhang, BHB; Anna H. Mackey, PT PhD; N. S. Stott, MD FRACS 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. C3 - ACETABULAR REMODELING FOLLOWING FEMORAL VARUS DEROTATIONAL OSTEOTOMY IN CHILDREN WITH CEREBRAL PALSY
Franklin Chang, MD; Julie Ma, BA; Eduardo Novais, MD; Zhaoxing Pan, 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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* 7. C4 - SHOULD ROUTINE PROXIMAL FEMORAL HARDWARE REMOVAL BE PERFORMED IN CHILDREN WITH CEREBRAL PALSY?
Walter H. Truong, MD; Tom Novacheck, MD; Eyun-Jung Shin, BS(Hons) MSc; Jasjit J. Lochab, BS MBBS; Ariel Rischall, BS; Andrew Howard, MSc MD; Unni G. Narayanan, MBBS MSc 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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* 8. C5 - SCOLIOSIS SURGERY IN CEREBRAL PALSY SPASTIC QUADRIPLEGIC PATIENTS: IS FUSION TO THE SACRUM ALWAYS NECESSARY? A MINIMUM 4 YEAR FOLLOW UP
Nicholas O. deGiorgio-Miller, MBChB; Bruce Hodgson, MBChB

	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. C6 - REPORTED OUTCOMES OF LOWER LIMB ORTHOPAEDIC SURGERY IN CHILDREN AND ADOLESCENTS WITH CEREBRAL PALSY: A MAPPING REVIEW
Nichola C. Wilson, MD FRACS; Jimmy Chong, MD; Anna H. Mackey, PT PhD; N. S. Stott, MD 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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* 10. C7 - ORTHOPEDIC ISSUES IN LIPOMYELOMENINGOCELE: HOW DOES IT DIFFER FROM SPINA BIFIDA?
Lee Segal, MD; Wojciech Czoch, MD; William Hennrikus, MD; M. W. Shrader, MD; Paul Kanev, MD; Candice Welsh, BSN

	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. C8 - OPTIMAL PATELLAR POSITION VARIES FOR DIFFERENT WALKING POSTURES
Rachel L. Lenhart, MS; Michael H. Schwartz, PhD; Darryl G. Thelen, 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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* 12. C9 - POSTOPERATIVE PAIN CONTROL IN PATIENTS WITH CEREBRAL PALSY AND SCOLIOSIS: ARE WE UNDERMEDICATING OUR PATIENTS?
M. W. Shrader, MD; John Jones, MD; Miranda Falk, MMS; Lee Segal, MD; Candice Welsh, BSN

	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. C10 - POSTOPERATIVE PAIN IN CEREBRAL PALSY: ARE PATIENTS WITH CEREBRAL PALSY BEING UNDERMEDICATED?
Joshua Hyman, MD; David P. Roye, MD; Evan D. Sheha, BS; Hiroko Matsumoto, MA; Anthony Essilfie, 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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* 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