Section I: Overall Program Evaluation

NOTE: Survey open date: July 18, 2018

Physicians, in order to receive Category 1 credit, please complete this evaluation survey and electronically sign the CME Claim Form at the end of the survey. Information obtained from you regarding the impact of the sessions in meeting your learning needs or practice gaps is critical to the development of future educational programs. Please take the time to complete this evaluation form as completely as possible. Thank you for your valuable feedback!

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* 1. Please enter your name.

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* 2. Regarding overall program effectiveness, please rate the following statements.

  Strongly Agree Agree Neutral Disagree Strongly Disagree
The program met my expectations.
The program format/schedule was effective.
The program met my educational needs.
I learned skills and concepts that will help me be more effective and strategic in my work.
The program provided me with new ideas, information and/or resources.
The presentations were commercially unbiased and fair.

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* 3. The location was:

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* 4. The overall quality of the conference was:

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* 5. What topics would you like to see covered at future events? What skills would you like to develop in the future?

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* 6. Are there barriers that still need to be addressed?

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* 7. Please rate the following Wednesday speakers/sessions based on their knowledge of the material, efficient use of time and applicability of material.

  Excellent Good Adequate Fair Poor
Ben Roberts, MD
Jacob Prabhakar, MD
Duranda Ash, MD
JD Bonner, MD

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* 8. Please rate the following Thursday speakers/sessions based on their knowledge of the material, efficient use of time and applicability of material.

  Excellent Good Adequate Fair Poor
Scientific Poster Session
Juan Batlle, MD
Jacob Prabhaker, MD
Kevin Waltz, MD
Diego Mejia, MD
Ben Roberts, MD

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* 9. Please rate the following Friday speakers/sessions based on their knowledge of the material, efficient use of time and applicability of material.

  Excellent Good Adequate Fair Poor
Vipin Das, MD
Shark Tank-Innovations
Juan Batlle, MD
Kevin Waltz, MD
Russel Swan, MD
Jason Leng, MD
Duranda Ash, MD
Mark Cichowski, MD
Matt Kruger, MD
Alan Blake-Alabama Eye Bank

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* 10. Please rate the following Saturday speakers/sessions based on their knowledge of the material, efficient use of time and applicability of material.

  Excellent Good Adequate Fair Poor
Juan Batlle, MD
Brian Joondeph, MD
Steve Petty, MD
Chris Knoppe, MD
Matthew Kruger, MD
Jeff Colquhoun, MD
Cristos Infantides, MD

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