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I am a:

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* 1. I am a:

If you are wanting CME credits -- please provide your AAFP# or your name and city

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* 2. If you are wanting CME credits -- please provide your AAFP# or your name and city

How would you rate this overall program on a scale of 1-5?

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* 3. How would you rate this overall program on a scale of 1-5?

What degree do you feel the program will be clinically useful to your profession?

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* 4. What degree do you feel the program will be clinically useful to your profession?

Were you satisfied with the content of the Webinar?

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* 5. Were you satisfied with the content of the Webinar?

What day(s) of the week work best for you?

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* 6. What day(s) of the week work best for you?

What times work best for you?

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* 7. What times work best for you?

Did you have any technical difficulties?

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* 8. Did you have any technical difficulties?

What did you like best about this Webinar?

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* 9. What did you like best about this Webinar?

What improvements would you suggest?

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* 10. What improvements would you suggest?

What topics would you be interested?

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* 11. What topics would you be interested?

Final Comments?

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* 12. Final Comments?

Name and Contact Info (Optional)

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* 13. Name and Contact Info (Optional)

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