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Please complete this evaluation form to let us know about your experience.

CME and CNE credits are now available for all four (4) workshops offered throughout the 2020 TB Summit. Providers may attend the sessions LIVE or watch the RECORDED sessions to receive credit. Providers must complete this evaluation form for each workshop to receive credit.

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* 1. Which workshop/panel did you attend?

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* 2. Overall, how satisfied are you with the workshop/panel?

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* 3. How confident are you that you will be able to apply information from the workshop/panel at your organization?

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* 4. Based on your level of knowledge prior to the workshop/panel, how would you rate changes to your knowledge as a result of the workshop/panel?

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* 5. Name the most useful information, resource, or skill from the workshop/panel that you’re likely to apply, try on, or share with colleagues within the next 90 days at your organization.

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* 6. What questions or comments do you have (e.g., questions for speakers, recommended topics for future training events, suggestions to improve the workshop/panel)?

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* 7. If you are interested in receiving CME/CNE units, please select only one option below and provide your contact information. Please note participants will only receive CEUs for the sessions for which an evaluation form is submitted. For further CME/CNE questions, please contact Martha at malvarado@migrantclinician.org.

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* 8. If you indicated CME or CNE, please provide your name (as it should appear on your electronic certificate), credentials, organization name, and email address.

NAME AND CREDENTIALS

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* 9. ORGANIZATION NAME

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* 10. EMAIL ADDRESS

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