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* 1. Please indicate your specialty

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

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* 3. Program topics and content was consistent with printed objectives.

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* 4. Content was relevant to my educational needs.

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* 5. Educational format was conducive to learning.

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* 6. Acquired knowledge will be applied in my practice environment.

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* 7. I will seek additional information on this subject.

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* 8. Program was fair, objective, and unbiased toward any product or program.

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* 9. List a minimum of two things you are going to change in your practice as a result of what you have learned at this activity.

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* 10. Do you have any suggestions for future topics to support and/or expand on what you have learned at this activity?

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* 11. Which of the following competency areas do you feel have been improved as a result of this activity?

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