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* 1. What is your degree?

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* 2. What is your primary area of specialty?

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* 3. Do you currently see patients and practice in the US?

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* 4. How many patients with IPF have you seen over the course of your career?

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* 5. Please affirm that, if selected, you agree to an honorarium of $500 for completion of the following tasks:

  • Completion of a 20- to 30-minute introductory interview about your experience with IPF; $250 to be issued after interview
  • Participation in two educational activities designated by CME Outfitters
  • A follow-up 20- to 30-minute interview after activity participation; $250 to be issued after follow-up interview

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* 6. Please provide your name, email address, and best phone number to be reached at:

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* 7. When is the best time of day to be reached?

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