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* 1. How many patients with obesity do you currently manage in your practice? Please respond with your best approximate number.

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* 2. How many years have you been in practice?

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

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

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* 5. As a result of your participation in this activity, what strategies/changes do you plan to implement in your practice?

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

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* 7. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

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

  Strongly agree Agree Neutral Disagree Strongly disagree
Analyze regional and ethnic disparities in obesity
Address patients with obesity with sensitivity and a greater understanding of this disorder’s causes, challenges, and treatments
Apply current practice guidelines to optimize screening, diagnosis, and treatment
Implement proven communication strategies, such as The 5 A’s of Obesity Counseling, to effectively engage patients in weight loss discussion
Evaluate the efficacy and safety of available and emerging pharmacologic therapies for weight loss

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* 9. Deborah Bade Horn, DO, MPH, effectively:

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

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

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* 12. How would you rate the format of this activity?

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* 13. Would you be willing to participate in a post activity follow-up survey?

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