Tell Us What You Think About Discussions in Dermatology! Exit this survey >> Question Title * 1. To be entered into our Starbucks® Gift Card drawing, please provide the following information. Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: Email Address: Question Title * 2. Program Evaluation: Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree The Discussions In Dermatology program is an overall helpful resource The Discussions In Dermatology program is an overall helpful resource Strongly Agree The Discussions In Dermatology program is an overall helpful resource Agree The Discussions In Dermatology program is an overall helpful resource Neither Agree Nor Disagree The Discussions In Dermatology program is an overall helpful resource Disagree The Discussions In Dermatology program is an overall helpful resource Strongly Disagree The topics are relevant in my practice The topics are relevant in my practice Strongly Agree The topics are relevant in my practice Agree The topics are relevant in my practice Neither Agree Nor Disagree The topics are relevant in my practice Disagree The topics are relevant in my practice Strongly Disagree The exams are challenging The exams are challenging Strongly Agree The exams are challenging Agree The exams are challenging Neither Agree Nor Disagree The exams are challenging Disagree The exams are challenging Strongly Disagree I would recommend the program to others I would recommend the program to others Strongly Agree I would recommend the program to others Agree I would recommend the program to others Neither Agree Nor Disagree I would recommend the program to others Disagree I would recommend the program to others Strongly Disagree Question Title * 3. How do you rate the Discussions in Dermatology program? Most 1 2 3 4 5 6 7 8 9 10 Least Organization Organization Most 1 Organization 2 Organization 3 Organization 4 Organization 5 Organization 6 Organization 7 Organization 8 Organization 9 Organization 10 Least Accuracy Accuracy Most 1 Accuracy 2 Accuracy 3 Accuracy 4 Accuracy 5 Accuracy 6 Accuracy 7 Accuracy 8 Accuracy 9 Accuracy 10 Least Relevancy Relevancy Most 1 Relevancy 2 Relevancy 3 Relevancy 4 Relevancy 5 Relevancy 6 Relevancy 7 Relevancy 8 Relevancy 9 Relevancy 10 Least Question Title * 4. Do you currently use any of the following social networking sites (check all that apply)? Facebook MySpace LinkedIn Friendster Bebo Classmates Other (please specify) Question Title * 5. What is your current practice setting? Private Practice Hospital Academic Other (please specify) Question Title * 6. How did you hear about the Discussions in Dermatology program (check all that apply)? Dermatology Nurses Association (DNA) Friend/Colleague Meeting/Conference Journal/Magazine Email Broadcast Direct Mailing Web Search CE Site Other (please specify) Question Title * 7. Do you have any suggestions for future topics? Question Title * 8. General comments on Discussions in Dermatology: Done >>