* 1. Name

* 2. Department/Division

* 4. Email Address

* 5. Appropriateness, clarity, and throroughness of content

* 6. Speakers Knowledge of subject.

* 7. Extent to which educational objectives were achieved.

* 8. Extent to which you are satisfied with the overall quality of the education activity.

* 9. To what extent did the activity present scientifically rigorous, unbiased, and balanced information?

* 10. In your opinion did you perceive any commercial bias in the presentation?

* 11. If yes, please explain:

* 12. Based on the information you received today, how will you change your practice as a result of attending this series? (select all that apply)

* 13. What barriers, if any, do you anticipate encountering as you make changes in your practice?

* 14. Please suggest topics for future sessions.

* 15. General Comments

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