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* 1. How many patients with PN do you manage per month?

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

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

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

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

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

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* 7. Please rate your level of agreement by checking the appropriate rating.

Sonja Ständer, MD, effectively:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Presented the Material
Avoided Commercial Bias

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* 8. Please rate your level of agreement by checking the appropriate rating.

Gil Yosipovitch, MD, effectively:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Presented the Material
Avoided Commercial Bias

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* 9. Please rate your level of agreement by checking the appropriate rating.

The educational activity:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Met the identified learning objectives
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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* 10. 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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* 11. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for prurigo nodularis:

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

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