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* 1. My Specialty is:

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* 2. Please rate the items listed below:

	Excellent	Good	Satisfactory	Poor
Activity met my needs	Activity met my needs Excellent	Activity met my needs Good	Activity met my needs Satisfactory	Activity met my needs Poor
Activity made me want to learn more	Activity made me want to learn more Excellent	Activity made me want to learn more Good	Activity made me want to learn more Satisfactory	Activity made me want to learn more Poor
Activity valuable to me professionally	Activity valuable to me professionally Excellent	Activity valuable to me professionally Good	Activity valuable to me professionally Satisfactory	Activity valuable to me professionally Poor
Format facilitated learning	Format facilitated learning Excellent	Format facilitated learning Good	Format facilitated learning Satisfactory	Format facilitated learning Poor
Opportunity for participation was	Opportunity for participation was Excellent	Opportunity for participation was Good	Opportunity for participation was Satisfactory	Opportunity for participation was Poor
Audiovisual was	Audiovisual was Excellent	Audiovisual was Good	Audiovisual was Satisfactory	Audiovisual was Poor
Facilities were	Facilities were Excellent	Facilities were Good	Facilities were Satisfactory	Facilities were Poor
Overall activity rating	Overall activity rating Excellent	Overall activity rating Good	Overall activity rating Satisfactory	Overall activity rating Poor
I would recommend this activity to others	I would recommend this activity to others Excellent	I would recommend this activity to others Good	I would recommend this activity to others Satisfactory	I would recommend this activity to others Poor

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* 3. B1: NEONATAL ERYTHROPOIETIN REVERSAL OF A SPECTRUM OF CHRONIC DEFICITS CORRELATES WITH DIFFUSION TENSOR IMAGING IN A PRECLINICAL MODEL OF CEREBRAL PALSY FROM PREMATURITY
Shenandoah Robinson, MD; Lauren Jantzie, PhD

	Agree Strongly	Agree	Neutral / No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral / No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral / No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral / No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 4. B2: SUPPORTING MOTHER-INFANT INTERACTION IN THE NICU MAY ENHANCE ORAL MOTOR SKILLS, WEIGHT GAIN, AND FEEDING VOLUME: A PILOT STUDY
Stacey Dusing, PhD; Lisa F. Brown, PhD, RN; Leroy R. Thacker, PhD; Tanya Tripathi, PhD; Karen D. Henricks-Muñoz, BS, MD, MPH

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 5. B3: INITIAL EFFICACY OF SPEEDI: A DEVELOPMENTAL INTERVENTION PROVIDED FOR 15 WEEKS IN THE NICU AND COMMUNITY IMPROVES MOTOR ABILITIES IN INFANTS BORN VERY PRETERM OR WITH BRAIN INJURY
Stacey Dusing, PhD; Leroy R. Thacker, PhD; Tanya Tripathi, PhD; Lisa F. Brown, PhD, RN; Karen D. Henricks-Muñoz, BS, MD, MPH

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 6. B4: CONSTRAINT-INDUCED MOVEMENT THERAPY (CIMT) FOR INFANTS AND TODDLERS
Stephanie DeLuca, Ph.D.; Sharon Ramey, Ph.D.; Mary Rebekah Trucks, MS, OTR/L; Dorian Wallace, MS, OTR/L

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 7. B5: HIGH DOSAGE PEDIATRIC THERAPY: DOES IT CAUSE STRESS FOR PARENTS OF PATIENTS WITH CEREBRAL PALSY?
Jean V. Fischer, MS; Sharon Ramey, Ph.D.; Stephanie DeLuca, Ph.D.; Richard D. Stevenson, MD; Amy Darragh, OTR/L, PhD, FAOTA

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 8. B6: FAMILY CENTERED MEASUREMENT: DEVELOPMENT OF AN ENGAGEMENT GUIDELINE FOR THE CHALLENGE
Bhavnita Mistry, MA; Barbara Gibson, PhD, MSc, PT; Virginia Wright, PhD, MSc, PT

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 9. B7: SEARCHING FOR THE NEURAL CORRELATES OF HAND FUNCTION IN UNILATERAL SPASTIC CEREBRAL PALSY: DOES SIZE AND LOCATION OF MOVEMENT REPRESENTATIONS MATTER?
Michelle Marneweck, PhD; Hsing-Ching Kuo, PT, MS; Ana Smorenburg, PhD; Véronique H. Flamand, PhD, OT; Claudio L. Ferre, PhD; Yannick Bleyenheuft, PhD PT; Andrew Gordon, PhD; Kathleen Friel, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 10. B8: EFFECT OF INTER-MANUAL TRAINING ON HAND SHAPING DURING GRASP IN CHILDREN WITH UNILATERAL SPASTIC CEREBRAL PALSY
Aviva Wolff, OTR/L; Mandi Gibbons, MA; Howard Hillstrom, PhD; Andrew Gordon, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 11. B9: ELBOW SYMMETRY DURING GAIT IMPROVES WITH AGE IN HEMIPLEGIC CEREBRAL PALSY
Aviva Wolff, OTR/L; Benjamin Gordon, MD; Aaron Daluiski, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 12. B10: IMPROVEMENTS IN ACTIVE ELBOW AND WRIST EXTENSION IS MAINTAINED 10 YEARS AFTER UPPER LIMB SURGERY IN CEREBRAL PALSY AND STROKE.
Eva Pontén, MD, PhD; Ferdinand von Walden, MD, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 13. What are the three most important things you learned from these sessions?

1)

2)

3)

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* 14. How will these sessions enhance your professional effectiveness?

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* 15. How could this CME activity be improved?

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* 16. What topics would you suggest be presented in future CME activities?

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* 17. Were the sessions presented objectively and fairly?

Yes

No (please explain)

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* 18. Was disclosure of faculty and commercial support relationships made known to you?

Yes

No (please explain)

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* 19. Was disclosure of unapproved/investigative use(s) of commercial product(s), device(s) made?

Yes

No (please explain)

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* 20. Additional Comments or Suggestions:

Thank you for your feedback