Please help us by completing this survey to guide our ideas and planning for future meetings and events. Your input is greatly appreciated.

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* 1. What is your name and credentials?

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* 2. What topics would you be interested in learning more about?

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* 3. What skills or procedures would you benefit from learning or reviewing?

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* 4. Do you know of any physicians/therapists/specialists who may be interested in presenting for NCUESIG? If so, how may we contact them?

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* 5. List the two diagnoses/clinical problems you most frequently encounter.

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* 6. Which of the following criteria do you use in choosing a CME course? (Check all that apply)

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* 7. What areas of your continuing professional development are difficult to manage or resolve that you would like to improve in general (e.g., assessment/diagnosis, legal issues, etc.)?

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* 8. How important is having food at our meetings?

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i We adjusted the number you entered based on the slider’s scale.

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* 9. Would your clinic be interested in hosting a future meeting? If yes, where do you work? Who should we contact?

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