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

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* 2. How many patients with CKD and anemia do you manage ?

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* 3. Please select the option that best describes your practice setting.

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

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

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* 6. What barriers do you see to making changes in your practice?

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

After participating in today’s activity, I am now able to:

  Strongly agree Agree Neutral Disagree Strongly disagree
Describe the prevalence of and burden associated with anemia in patients with CKD, including those who are hyporesponsive to ESA therapy.
Explain the pathophysiologic processes underlying anemia associated with CKD, including potential therapeutic targets

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

Martha Guladi, MD, MS, FACC, FAHA, FASPC, effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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

Daniel Coyne, MD, effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 10. The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in health care
Was scientifically rigorous and evidence based
Avoided commercial bias or influence

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

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

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

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