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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. Following your participation in this activity, how confident are you in the long-term management of patients with bipolar disorder in your practice? 

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

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* 7. Which of the following best describes the impact of this activity on your performance? 

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* 8. What barriers do you see to making changes in your practice?

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

  Strongly agree Agree Neutral Disagree Strongly disagree
Formulate a differential diagnosis of BD, differentiating BPD from unipolar depression, MDD, subsyndromal mania/hypomania, and other disorders
Propose appropriate and effective treatment for major depressive episodes associated with bipolar disorder
Integrate strategies for treatment of patients with bipolar depression and comorbidities
Apply management and patient education recommendations in current clinical practice guidelines to routine care of patients with bipolar disorder

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* 10. 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

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

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* 12. 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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* 13. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for Bipolar Disorder or related disease states.

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