CME Evaluation

To receive CME credit for participating in this session, you must complete this brief evaluation. You have 10 days from the webinar date to complete this survey for CME credit. The survey should only take 2-3 minutes to complete.

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* 1. First name:

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* 2. Last name:

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* 3. What is your role?

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* 4. Enter your KP NUID (letter + 6 numbers). If none, please enter "none."

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* 5. Your e-mail address: (e.g. michael.j.lee@kp.org)

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* 6. What is your primary facility? (Vallejo, San Francisco, etc.)

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* 7. Please enter the amount of time you participated in this webinar. Claim only the fraction of hours commensurate with the extent of your participation in the activity. Full credit is one hour.

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* 8. Do you plan to make any changes to your practice as a result of this webinar?

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* 9. If yes or considering making a change, list one or two things you plan to change or try.

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* 10. As a result of this webinar, how will you address the diverse cultural and linguistic needs of your patients? (Check all that apply.)

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* 11. What are the barriers to implementing the practice recommendations from this session?

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* 12. Additional comments or questions?

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