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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. How many patients with MS do you manage per week?  

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

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

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

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

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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

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

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Personalize treatment selection when starting, switching, or stopping a pharmacologic based on efficacy, safety, and patient preference
Evaluate the latest data on the efficacy, safety, and dosing/administration of currently approved DMTs to develop optimal individualized treatment strategies for patients with MS

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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

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

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* 13. 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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* 14. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for this or related disease state:

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