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

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

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* 3. Rose is a 72-year-old woman with COPD who demonstrates extremely reduced physical activity. Her mMRC score = 3, BMI = 20 kg/m2, and her CAT score = 15. Which of the following nonpharmacological interventions would you recommend for her?

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* 4. After participating in this activity, how frequently do you plan to implement supported self-management strategies with your patients with COPD?

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

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

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

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* 8. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

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

  Strongly agree Agree Neutral Disagree Strongly disagree
Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve quality of life in people with COPD
Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD

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* 9. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

The following faculty presenter effectively:

Clare Cook, BSc

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias or influence

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* 10. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

The following faculty presenter effectively:

Sally Singh, PhD

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias or influence

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* 11. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in health care
Was scientifically rigorous and evidence based
Avoided commercial bias or influence

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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 COPD:

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

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* 15. Request for CME credit:

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* 16. Contact information

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