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* 1. What is your degree?

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* 2. What is your specialty?

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* 3. Please select the option that best describes your practice setting.

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* 4. How many years have you been in practice?

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* 5. How many of your patients with COPD do you manage per week?

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* 6. After participating in this activity, how confident are you in the management of patients with COPD in your practice? 

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* 7. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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* 8. How committed are you to making changes in your practice based on your participation in this activity?

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* 9. What barriers do you see to making changes in your practice? Please select all that apply.

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* 10. Please rate your level of agreement by checking the appropriate rating.
Strongly agree, Agree, Neutral, Disagree, Strongly disagree

After participating in today’s activity, I am now better able to:

  Strongly agree Agree Neutral Disagree Strongly disagree
Review updated guidelines and recommendations for the use of combination bronchodilator therapy to optimize treatment and management of COPD

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* 11. Please rate your level of agreement by checking the appropriate rating.

  Strongly agree Agree Neutral Disagree Strongly disagree
Faculty for this activity was effective
Content was scientifically rigorous and evidence based
Avoided commercial bias or influence
The teaching and learning methods were effective
The learning assessment used for this activity was appropriate
The educational resources and/or handouts provided to me at the educational activity are useful to my practice

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* 12. What motivated you to participate in this activity? (check all that apply)

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* 13. Which ONE delivery method do you find the most effective for CME/CE learning?

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* 14. If you indicated that you perceived commercial bias or influence, please describe:

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* 15. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 16. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

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