ECHO CME/Evaluation Survey Question Title * 1. Last Name OK Question Title * 2. First Name OK Question Title * 3. Please Indicate degree MD DO PA NP RN Other (please specify) OK Question Title * 4. What organization or Health Center are you with? OK Question Title * 5. What county are you located in? OK Question Title * 6. Email Address OK Question Title * 7. Clinic Date Date / Time Date OK Question Title * 8. Clinic Title and Learning Objectives OK Question Title * 9. Please select the appropriate answer Yes No Was this activity scientifically sound and free of commercial bias? Was this activity scientifically sound and free of commercial bias? Yes Was this activity scientifically sound and free of commercial bias? No Was the program topic appropriate for your needs? Was the program topic appropriate for your needs? Yes Was the program topic appropriate for your needs? No Did the program have practical clinical value? Did the program have practical clinical value? Yes Did the program have practical clinical value? No If no, to any of the above, please explain OK NEXT