SR129
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1
. Please list the following:
Please list the following:
Practice Type:
Affiliation and Practice Location:
Clinical Specialty:
2
. How much do you agree with each of the following statements regarding the Special Report titled “Techniques for Using Biologics in Ventral Hernia Repair?” (please select rating on each line)
5 - Strongly agree
4
3
2
1 - Strongly disagree
Content was objective
*
How much do you agree with each of the following statements regarding the Special Report titled “Techniques for Using Biologics in Ventral Hernia Repair?” (please select rating on each line) Content was objective 5 - Strongly agree
Content was objective 4
Content was objective 3
Content was objective 2
Content was objective 1 - Strongly disagree
Content was current
Content was current 5 - Strongly agree
Content was current 4
Content was current 3
Content was current 2
Content was current 1 - Strongly disagree
Content was scientifically based
Content was scientifically based 5 - Strongly agree
Content was scientifically based 4
Content was scientifically based 3
Content was scientifically based 2
Content was scientifically based 1 - Strongly disagree
3
. How likely are you to share this Special Report with your colleagues?
How likely are you to share this Special Report with your colleagues?
5 - Very likely
4
3
2
1 - Not at all likely
4
. What did you like most about this educational piece?
What did you like most about this educational piece?
5
. What actions did you take based on the information presented in this Special Report? (please select all that apply)
What actions did you take based on the information presented in this Special Report? (please select all that apply)
Sought additional information on this technique
Sought out additional information on the biologic that was discussed (XCM)
Changed your technique for implanting biologic mesh
Did nothing as current technique reflects the activity’s recommendation
Did nothing as the content was not convincing
6
. How useful was the information provided in the Special Report?
How useful was the information provided in the Special Report?
5 - Very useful
4
3
2
1 - Not at all useful
7
. How often do you use biologic mesh for ventral hernia repair?
How often do you use biologic mesh for ventral hernia repair?
Often
Sometimes
Rarely
Never
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