Evaluation

Please fill out this evaluation to complete the course.

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1. Date (Required.)

Date

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2. Location (Required.)

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3. First Name (Required.)

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4. Last Name (Required.)

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5. Email (Required.)

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6. The speaker demonstrated outstanding knowledge of subject matter? (Required.)

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7. The presentation skills employed by the following speaker(s) were helpful in reinforcing learning? (Required.)

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8. The presentation visual aids used by the following speaker(s) were helpful in reinforcing learning? (Required.)

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9. Did you feel this activity contained commercial bias, in favor of or against, any company's or medical device manufacturer's therapeutic agents, devices, or services? (Required.)

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10. Did it negatively impact the educational values of the activity? (Required.)

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11. Do you anticipate making changes in the way you diagnose patients as a result of participating in this activity? (Required.)

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12. If yes, please describe exactly what changes you plan to make:

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13. When do you plan to make the changes:

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14. If no, is it because you already diagnose/treat patients this way?

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15. If no, please explain:

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16. Do you anticipate making other changes in your practice as a result of participating in this activity? (Required.)

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17. Indicate any perceived/anticipated barriers to implementing these changes: (Required.)

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18. If yes, please describe exactly what changes you plan to make in your practice:

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19. When do you plan to make the changes?

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20. Do you believe improved patient outcomes may be a result of these changes? (Required.)

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21. If no, is it because you already practice this way?

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22. If no, please explain:

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23. What is your primary reason for participating in this activity? Please select only one response below. (Required.)

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