Jointly Sponsored by Harvard Medical School and the National Institute on Drug Abuse (NIDA)

Thank you for participating in the Addiction Performance Project CME activity on March 28, 2011. Your feedback will provide us with valuable information to help us ensure that future CME activities meet your professional needs. Your feedback is essential to the success of this effort.

Your individual responses are confidential, with study results to be reported in the aggregate. Please take a moment to complete this brief evaluation. CME certificate for your participation on March 28th will be mailed at the end of the Academic year (early June). Please provide the most accurate mailing address.

Thank you in advance for your time and participation.

* 1. First Name:

* 2. Last Name:

* 3. Email Address:

* 4. Mailing Address: