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* 1. Attendee Name

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* 2. Email

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* 3. Organization

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* 4. Please identify license held:

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* 5. License number (if not applicable, please write N/A):

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* 6. Upon completion of this activity, the audience will be able to:

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Share the data on necessity and benefits of screening for ACEs in youth, adults, and expectant parents.
Define resilience and recognize how to integrate basic approaches to ACEs screening and referrals that will support resilience for both the screener and the patient/family that are time-sensitive and impactful.
Identify resources to promote and sustain resilience when facing exhaustion, overwhelming challenges, and a sense of powerlessness.
Recognize strategies and challenges when implementing ACEs screening in community settings and how to learn and grow with these challenges.
Describe the concept of "relational health".
Describe the distinction between empathy and compassion.

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* 7. The facilitators were qualified to present this material.

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Susan Swick MD

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* 8. The facilitators were responsive to participants.

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
Susan Swick MD

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* 9. The course content:

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Was appropriate for intended audience.
Was consistent with stated objectives.
Offered opportunity for experiential or active learning.
Was relevant to my profession.
Was current and accurate.
Was delivered clearly.
Included useful instructional materials.

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* 10. Overall, I was satisfied with:

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My educational experience.
The virtual method of instructional delivery.
The degree to which I learned something useful.

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* 11. Was the information/material presented at this CME/CEU activity free from commercial bias?

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* 12. Ideas for future CME/CEUs:

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* 13. How did you hear about this CME/CEU activity?

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* 14. Additional comments:

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