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* 1. My Specialty is:

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* 2. Please rate the items listed below:

	Excellent	Good	Satisfactory	Poor
Activity met my needs	Activity met my needs Excellent	Activity met my needs Good	Activity met my needs Satisfactory	Activity met my needs Poor
Activity made me want to learn more	Activity made me want to learn more Excellent	Activity made me want to learn more Good	Activity made me want to learn more Satisfactory	Activity made me want to learn more Poor
Activity valuable to me professionally	Activity valuable to me professionally Excellent	Activity valuable to me professionally Good	Activity valuable to me professionally Satisfactory	Activity valuable to me professionally Poor
Format facilitated learning	Format facilitated learning Excellent	Format facilitated learning Good	Format facilitated learning Satisfactory	Format facilitated learning Poor
Opportunity for participation was	Opportunity for participation was Excellent	Opportunity for participation was Good	Opportunity for participation was Satisfactory	Opportunity for participation was Poor
Audiovisual was	Audiovisual was Excellent	Audiovisual was Good	Audiovisual was Satisfactory	Audiovisual was Poor
Facilities were	Facilities were Excellent	Facilities were Good	Facilities were Satisfactory	Facilities were Poor
Overall activity rating	Overall activity rating Excellent	Overall activity rating Good	Overall activity rating Satisfactory	Overall activity rating Poor
I would recommend this activity to others	I would recommend this activity to others Excellent	I would recommend this activity to others Good	I would recommend this activity to others Satisfactory	I would recommend this activity to others Poor

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* 3. D1: HAS THE PREVALENCE OF CEREBRAL PALSY PREVALENCE CHANGED OVER TIME? TRENDS BY BIRTH WEIGHT, GESTATIONAL AGE, AND RACE/ETHNICITY IN A UNITED STATES POPULATION-BASED STUDY, 1985-2002
Kim Van Naarden Braun, PhD; Deborah Christensen, PhD; Laura Schieve, PhD; Alyson Goodman, MD; Marshalyn Yeargin-Allsopp, MD

	Agree Strongly	Agree	Neutral / No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral / No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral / No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral / No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 4. D2: PREVALENCE OF CHRONIC DISEASES IN A POPULATION-REPRESENTATIVE SAMPLE OF INDIVIDUALS WITH CEREBRAL PALSY
Mark D. Peterson, PhD, M.S.; Jennifer Ryan, PhDj; Elham Mahmoudi, PhD; Edward A. Hurvitz, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 5. D3: TEMPORAL TRENDS IN CEREBRAL PALSY AND IMPAIRMENT SEVERITY
Susan M. Reid, PhD; Elaine M. Meehan, BSc (Hons); Sarah McIntyre, PhD; Shona Goldsmith, PT; Nadia Badawi, PhD, FRACP, MBBS, MSc

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 6. D4: TERTIARY PAEDIATRIC HOSPITAL ADMISSIONS IN CHILDREN AND YOUNG PEOPLE WITH CEREBRAL PALSY
Elaine M. Meehan, BSc (Hons); Gary L. Freed, MD, MPH; Susan M. Reid, PhD; Katrina Williams, PhD, FRACP, MBBS; Jill Sewell, FRACP, MBBS; Barry Rawicki, FRACP, MBBS; Dinah S. Reddihough, FRACP, MBBS, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 7. D5: ASSOCIATION BETWEEN NEUROMUSCULAR BLOCKING AGENT SENSITIVITY DURING ANESTHESIA AND NEUROMOTOR SYNAPSE MICROANATOMY IN CHILDREN WITH CEREBRAL PALSY
Stephanie Yeager, BA; Karyn Robinson, BA, MS; Robert Akins, BA, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 8. D6: IS PLACENTAL WEIGHT AND PLACENTAL WEIGHT RELATIVE TO THE INFANT SIZE AT BIRTH ASSOCIATED WITH RISK OF CEREBRAL PALSY?
Kristin M. Strand, MD; Guro L. Andersen, PhD, MD; Torstein Vik, PhD, MD; Anne Eskild, PhD, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 9. D7: NEUROBEHAVIOUR AT TERM IS PREDICTIVE OF NEURODEVELOPMENTAL OUTCOMES AT TWO YEARS OF AGE FOR CHILDREN BORN MODERATE-LATE PRETERM
Gayle G. Arnold Best Scientific Paper Award Winner

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 10. D8: FACTORS INFLUENCING TRAJECTORIES OF EARLY ADAPTIVE BEHAVIOR AMONG CHILDREN BORN PREMATURELY
Anne M. DeBattista, PhD; Lynne C. Huffman, MD; Abbey Alkon, PhD, MPH; Bruce A. Cooper, PhD; Sandra Weiss, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 11. D9: STABILITY OF THE GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM: COMPARISON BETWEEN HIGH AND LOW-RESOURCE COUNTRIES
Katherine A. Benfer, MPH; Rachel Jordan, BS; Sasaka Bandaranayake, MBBS; Christine Finn, PT; Robert Ware, PhD; Roslyn N. Boyd, PhD, PT

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 12. D10: INTRODUCTION OF THE GMFCS-ER AT A NATIONAL CHILD REHABILITATION CENTER IN VENEZUELA
Kristina Tedroff, PhD, MD; Ynes Arredondo, MD; Marika Tedroff, BA; Kristina Löwing, PhD, PT

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 13. What are the three most important things you learned from these sessions?

1)

2)

3)

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* 14. How will these sessions enhance your professional effectiveness?

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* 15. How could this CME activity be improved?

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* 16. What topics would you suggest be presented in future CME activities?

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* 17. Were the sessions presented objectively and fairly?

Yes

No (please explain)

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* 18. Was disclosure of faculty and commercial support relationships made known to you?

Yes

No (please explain)

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* 19. Was disclosure of unapproved/investigative use(s) of commercial product(s), device(s) made?

Yes

No (please explain)

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* 20. Additional Comments or Suggestions:

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