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* 1. Scientific Program

  StronglyDisagree Disagree Neither Agree nor Disagree Agree Strongly Agree N/A
Topics were relevant to my practice.
Stated objectives were clearly presented.
Educational design and format was helpful.
Presentation level was appropriate.
Teaching methods were effective.
Syllabus materials were useful.
My educational needs were satisfied.

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* 2. My administrative approach and/or practice outcomes will be improved.

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* 3. Was this program, and all lectures in it, free of commercial bias?

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* 4. This was a valuable use of my time.

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* 5. The most beneficial part of this CME conference was:

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* 6. How well did we accomplish the OBJECTIVES?

  StronglyDisagree Disagree Neither Agree nor Disagree Agree Strongly Agree N/A
Objective 1:  Cite examples of innovative approaches to reducing health inequities
Objective 2:  Identify success factors and barriers regarding health inequity projects
Objective 3:  Advance your institutional efforts in improving community health/reducing health inequities
Objective 4:  Articulate the outcomes of NI V and what role your institution played in the overall outcome

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* 7. Quality

  StronglyDisagree Disagree Neither Agree nor Disagree Agree Strongly Agree N/A
Announcements for the conference were timely.
Date and time of the week was convenient.
Geographic location of the meeting was a plus.
Meeting room was conducive for learning.
Conference registration process was easy.
Conference was the right length.
I would recommend this conference to others.

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* 8. Please mark the category that best describes you:

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* 9. Number of years in practice:

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* 10. Did you use the mobile app for the meeting?

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* 11. Did you find the app to be user-friendly and a helpful addition to the meeting?

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* 12. What suggestions do you have for improving the app?

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* 13. NI V STRUCTURE (please answer only if you regularly attended the bimonthly teleconferences and webinars)

  StronglyDisagree Disagree Neither Agree nor Disagree Agree Strongly Agree N/A
The bimonthly teleconferences/team progress reports were a valuable use of my time.
The bimonthly teleconferences/team progress reports positively impacted my team’s progress.
The bimonthly educational webinars were a valuable use of my time.
The bimonthly educational webinars positively impacted my team’s progress.

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* 14. The primary way to improve future CME conferences is:

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* 15. My general comments about this CME conference are:

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* 16. My suggestions for future topics and/or presenters include:

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* 17. What did you personally find to be most gratifying about the NI V experience?

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* 18. What is your team struggling with most?

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* 19. How can the AIAMC better optimize teams’ work/meeting team objectives in National Initiative VI?

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* 20. Do you think your institution will participate in National Initiative VI with its focus on wellbeing? 

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