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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. B1 - EFFECTS OF STUDENT-MENTORED PROGRESSIVE RESISTANCE EXERCISE TRAINING ON WORK TASK PERFORMANCE AND MUSCLE STRENGTH IN YOUNG PEOPLE WITH DOWN SYNDROME: A RANDOMIZED CONTROLLED TRIAL
Nicholas Taylor, PhD ; Nora Shields, PhD; Elin Wee, BPhysio (Hons); Simone O’Shea, PhD; Bo Fernhall, 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. B2 - EFFECTS OF STRUCTURED VS . UNSTRUCTURED INTENSIVE BIMANUAL TRAINING ON HAND FUNCTION AND PLASTICITY IN MOTOR CORTEX
Kathleen Friel, PhD; Hsing-Ching Kuo, PT MS; Jaimie Gowatsky, MS; Claudio L. Ferre, MS; Jason Fuller, PhD; Jason Carmel, MD PhD; Arielle Stanford, MD; Sarah Lisanby, MD; Yannick Bleyenheuft, PhD; Andrew Gordon, 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. B3 - CONSTRAINT-INDUCED MOVEMENT THERAPY AND BIMANUAL TRAINING IN CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY PROVIDED IN A SPECIAL EDUCATION PRESCHOOL AND KINDERGARTEN SETTING
Nava Gelkop, PT MSc; Dikla Burstein Gol, OT MA; Anat Lahav, PT MSc; Amichai Brezner, MD; Saleh Oraibi, PT PhD; Claudio Ferre, MSc; Andrew Gordon, 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. B4 - RANDOMISED TRIAL OF THE DENSITY AND CONTEXT OF UPPER LIMB INTENSIVE GROUP COMPARED TO INDIVIDUALISED TRAINING FOR CHILDREN WITH CONGENITAL HEMIPLEGIA
Leanne Sakzewski, PhD OT; Roslyn N. Boyd, PhD PT; Laura Miller, OT; Joanne Bowden, OT; Jenny Ziviani, PhD OT

	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. B5 - EFFECTIVENESS OF A SIX-MONTH PHYSICAL ACTIVITY STIMULATION PROGRAM FOR CHILDREN WITH CEREBRAL PALSY
Annet Dallmeijer, PhD; Leontien van Wely, MSc; Astrid Balemans, MSc; Jules Becher, 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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* 9. B6 - INTRAVENTRICULAR BACLOFEN FOR THE TREATMENT OF SECONDARY DYSTONIA AND SPASTICITY: CLINICAL OUTCOMES, DOSING, AND SIDE EFFECTS
Taryn M. Bragg, MD MS; Emily Meyer, MS CPNP APNP

	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. B7 - EFFECT OF LIDOCAINE IONTOPHORESIS COMBINED WITH PHYSICAL THERAPY INTERVENTION ON GAIT AND SPASTICITY IN CHILDREN WITH SPASTIC HEMIPLEGIC CEREBRAL PALSY
Fatma A. Hegazy, PT, PhD; Yasser Salem, PT PhD MS NCS PCS

	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. B8 - BOTULINUM TOXIN INJECTIONS IN LOWER EXTREMITIES INCREASE PHYSICAL ACTIVITY IN UPPER EXTREMITIES IN CHILDREN WITH CEREBRAL PALSY
Eva Pontén, 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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* 12. B9 - RESULTS OF SELECTIVE MOTOR FASCICULOTOMY IN SPASTIC UPPER LIMBS DUE TO CEREBRAL PALSY
Aniruddh K. Purohit, MCh; Srikanth S. Reddy, MS; Aneel K. Puligopu, MCh

	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. B10 - EFFICACY OF UPPER LIMB THERAPIES FOR CHILDREN WITH CONGENITAL HEMIPLEGIA TO IMPROVE ACTIVITY AND INDIVIDUALISED OUTCOMES: SYSTEMATIC REVIEW AND META-ANALYSIS UPDATE
Leanne Sakzewski, PhD OT; 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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* 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