American Academy of Family Physicians Prescribed Credit Application

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* 1. Check all of the sessions you attended.  Note: You can only select one session per time slot.

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* 2. OVERALL MEETING EVALUATION

  Excellent Very Good Good Fair Poor
Meeting format
Quality of information presented
Scientific rigor
Level of instruction
Fulfilled stated learning objectives
Overall objectivity and balance
Rate the appropriateness of the educational formats used during the meeting for the setting, objectives, and desired results of the meeting
Rate the likelihood you will make a change in practice behavior based on your participation in this activity

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* 3. Meeting Impact. This meeting (please check all that apply):

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* 4. As a result of attending this meeting, what will you do differently in your practice?

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* 5. Do you have any suggestions for improving future annual meetings?

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* 6. Please suggest topics areas where you feel you need additional continuing education in order to improve your performance and/or patient outcomes:

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* 7. What is your First Name

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* 8. What is your Last Name?

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* 9. What is your email address?

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