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* 1. Session Date:

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* 2. Which of the following

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* 3. Were the individual learning objectives of this CME activity achieved?

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* 4. Please rate the ECHO session on the statements

  Poor Fair Good Very Good Excellent
How well did the session deliver balanced and objective, evidence-based content?
Opportunities to ask questions were:
The pace of the session was:
The organization of the didactic presenter's presentation was:
The didactic presenter's ability to clearly communicate was:
The relevance of the didactic presentation to this session's objective was:

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* 5. Please rate the Quality Improvement component of the ECHO

  N/A Poor Fair Good Very Good
The relevance of the Quality Improvement presenter's presentation was:
The relevance of the Quality Improvement presenter's ability to clearly communicate was:
Opportunities to ask questions were:

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* 6. Do you feel that this session conveyed any commercial bias?

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* 7. Based on what you learned in this activity, do you plan to change: The strategies you implement in practice (how you diagnose/manage patients, coordinate care, etc.)

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* 8. Based on what you learned in this activity, do you plan to change: What you do in practice (how you perform exams, instruct, counsel patients/families.)

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* 9. If no to questions above, and you do not plan to make changes, other than lack of time/resources, why not? Select all that apply

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* 10. On a scale of 1 to 7, what was your return on your investment of time/effort for participating

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* 11. What did you like best about the session?

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* 12. What did you like least about the session?

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* 13. Please list any additional topics

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* 14. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitoners)?

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