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* 1. Name

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* 2. Department/Division

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* 4. Email Address

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* 5. Appropriateness, clarity, and throroughness of content

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* 6. Speakers Knowledge of subject.

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* 7. Extent to which educational objectives were achieved.

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* 8. Extent to which you are satisfied with the overall quality of the education activity.

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* 9. To what extent did the activity present scientifically rigorous, unbiased, and balanced information?

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* 10. In your opinion did you perceive any commercial bias in the presentation?

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* 11. If yes, please explain:

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* 12. Based on the information you received today, how will you change your practice as a result of attending this series? (select all that apply)

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* 13. What barriers, if any, do you anticipate encountering as you make changes in your practice?

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* 14. Please suggest topics for future sessions.

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* 15. General Comments

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