This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Utah Medical Association (UMA) through the joint providership of the Ada Canyon Medical Education Consortium and St. Luke’s Children’s Hospital. The Ada Canyon Medical Education Consortium is accredited by the Utah Medical Association to provide continuing medical education for physicians. The Ada Canyon Medical Education Consortium designates this live activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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* 1. Overall, how would you rate this educational activity?

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* 2. Overall, how would you rate the speaker’s competence and expertise? Cecilee Heath, LCSW

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* 3. Do you feel each of the following objectives was met?*As a result of attending this activity, participants will be able to: Define trauma from the perspective of the nervous system

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* 4. Do you feel each of the following objectives was met?*As a result of attending this activity, participants will be able to: Provide an overview of polyvagal theory

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* 5. Do you feel each of the following objectives was met?*As a result of attending this activity, participants will be able to: Discuss the 3 autonomic nervous system states

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* 6. On which of the following areas of your practice do you feel this activity will have a projected impact?* (Check all that apply)

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* 7. Which of the following competency areas do you feel were addressed by this activity?* (Check all that apply)

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* 8. Do you feel the activity was evidence-based, balanced and free of commercial bias or influence?*

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* 9. As a result of participating in this activity, how will you change your practice?* (Check all that apply)

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* 10. Did the activity have practical application for your professional needs?

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* 11. Did you have an opportunity to discuss practice-relevant questions with speakers and have your questions answered?

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* 12. Please indicate your profession:

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