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* 1. Are you an ADAA member?

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* 2. Highest degree earned:

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* 3. Clinical specialty (check all that apply):

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* 4. My practice delivers treatment to (check all that apply):

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* 5. Indicate your level of interest in these continuing education activities currently offered by ADAA.

  Very interested Interested Somewhat interested Not interested Unaware of this activity Do not need CE/CME
Annual Conference
Live Group Consultation at Conference
Online Group Consultation
Webinar (One hour)

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* 6. What is most important to you when choosing a continuing education program? (1 = most important to 5 = least important)

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* 7. What time of day are you most likely to participate in an online continuing education program?

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* 8. What therapies would you benefit from learning or reviewing? (Check all that apply)

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* 9. For which disorders would you like more continuing education? (Check all that apply)

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* 10. For which populations would you like more continuing education? (Check all that apply)

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* 11. Would you take an online course on ethics?

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* 12. Tell us which topics are of highest interest to you.

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* 13. List the two clinical problems you most frequently encounter.

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* 14. How would you prefer to learn about ADAA continuing education programs? (Check all that apply)

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* 15. Are you interested in presenting a continuing education program? Is so, what are your areas of expertise?

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* 16. I would like to be entered to win a $50 Visa gift card.

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