Personal Information

Question Title

* 1. Name

Question Title

* 2. Email Address

Question Title

* 3. Home Address

Question Title

* 4. Work Address

Question Title

* 5. What is your primary practice environment?

Question Title

* 6. Type of Practice/Specialty

Question Title

* 7. What best describes your role?

Question Title

* 8. How many years have you been in neurology practice?

Question Title

* 9. What is the most important factor in your decision to attend the ACNN Annual Conference?

Question Title

* 10. What specific topics are of interest to you?

Question Title

* 11. How often have you attended the ACNN Annual Meeting in the last 5 years?

Question Title

* 12. In the past, ACNN education content has been:

Question Title

* 13. On a scale of 1-5, please rate your overall 2019 ACNN Annual Meeting experience

Question Title

* 14. What challenges/issues confront you in your practice that you would like ACNN to address in the educational activities?

Question Title

* 15. Please respond to each comment.

  N/A Strongly Disagree Disagree Agree Strongly Agree
The overall program content was valuable.
The structure of the program was conducive to learning.
The program was well organized.
There were opportunities to network.
The program was free of commercial bias toward any product or service.
I would recommend this program to a colleague.
The program met my education needs/expectations.
The time allotted for each topic area was adequate.
The environment was conducive to learning.
The program provided evidence-based information that will be useful to me in my job or practice.

Question Title

* 16. Will you use the information and techniques you learned in your professional practice?

Question Title

* 17. Do you plan to attend the 2020 meeting in San Diego, CA?

Question Title

* 18. How could this program be improved?

Question Title

* 19. Additional comments or ideas for future education events. (Example: Topics/Speakers you would like to hear from next year's meeting, things you would like the ACNN to be sure to continue)

Question Title

* 20. Will you change the way you practice based on this educational activity? 

T