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* 1. What is your degree?

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* 2. What is your specialty?

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* 3. How many patients with EoE do you see in a typical week?

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* 4. How many years have you been in practice?

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* 5. Which of the following best describes your practice setting?

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* 6. After participating in this activity, how confident are you now in the management of patients with EoE in your practice?

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* 7. After participating in this activity, how committed are you now to implement evidence-based strategies to individualize treatment of patients with EoE.

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* 8. Please rate your level of agreement by checking the appropriate rating.

This educational activity:

  Strongly agree Agree Neutral Disagree Strongly disagree
Met the stated learning objectives
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in health care
Was scientifically rigorous and evidence based
Was effectively delivered by faculty
Avoided commercial bias or influence

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* 9. Which of the following best describes the impact of this activity on your performance?

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* 10. How committed are you to making changes in your practice based on your participation in this activity?

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* 11. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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* 12. What barriers do you see to making changes in your practice? Please select all that apply.

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* 13. As a result of your participation in this activity, what is one change you are most likely to implement in your practice?

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* 14. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for EoE or related disease states:

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* 15. If you indicated that you perceived commercial bias or influence, please describe:

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