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* 1. Please enter your name and credential.

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* 2. Please select your discipline or specialty.

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* 3. How did you learn about this Conference?

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* 4. Please indicate if the following course objectives were met:

  5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Disagree 1 - Strongly Disagree
Clinicians will learn how to identify and treat/modify treatment for their clients with misophonia. 
Clinicians will learn how to identify and treat/modify treatment for their clients with Olfactory Reference Syndrome. 
Clinicians will learn how to identify and treat/modify treatment for their clients with obsessional jealousy. 

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* 5. This course met my personal objective(s) for attending and satisfied my learning need(s) related to the topic.

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* 6. Please indicate your reaction to the following statements by selecting the appropriate option:

  5 - Strongly Agree 4 - Agree 3 - Neutral  2 - Disagree 1 - Strongly Disagree
The educational content of the course met or exceeded my expectations.
The material was presented at the appropriate level.
The handouts were useful in supplementing the presentations.
The session had appropriate participant and faculty interaction.
I would recommend this session to a friend.

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* 7. Please rate the facilities:

  5 - Excellent 4 - Good 3 - Neutral 2 - Fair 1 - Poor
Space
Comfort
Visibility
Acoustics 

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* 8. How much did you learn as a result of this activity?

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* 9. How useful was the content of this CE program for your practice or other professional development?

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* 10. Do you think commercial support influenced the content of this course or any presentations?

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* 11. I plan to make changes in my practice as a result of attending this course. (Explain)

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* 12. Please rate each speaker:

Jonathan Grayson, PhD

  5 - Excellent 4 - Good 3 - Neutral  2 - Fair 1 - Poor
Speaker's knowledge and expertise.
Speaker's teaching ability and quality of instruction.
Educational objectives were met.
Relevance to practice.
Overall.

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* 13. Eric Storch, PhD

  5 - Excellent 4 - Good 3 - Neutral  2 - Fair 1 - Poor
Speaker's knowledge and expertise.
Speaker's teaching ability and quality of instruction.
Educational objectives were met.
Relevance to practice.
Overall.

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* 14. Fugen Neziroglu, PhD

  5 - Excellent 4 - Good 3 - Neutral  2 - Fair 1 - Poor
Speaker's knowledge and expertise.
Speaker's teaching ability and quality of instruction.
Educational objectives were met.
Relevance to practice.
Overall.

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* 15. Alec Pollard, PhD

  5 - Excellent 4 - Good 3 - Neutral  2 - Fair 1 - Poor
Speaker's knowledge and expertise.
Speaker's teaching ability and quality of instruction.
Educational objectives were met.
Relevance to practice.
Overall.

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* 16. Overall comments about the session:

T