Please answer all of the questions below:

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* 1. Has the provider of the activity disclosed in writing the absence or presence of a conflict of interest declared by the planners and presenters/content specialists?

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* 2. Was the content presented without bias of any commercial product or drug?

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* 3. Please use the following rating scale to evaluate the objectives by choosing the corresponding number below:

To a great extent = 4
To a moderate extent = 3
To a slight extent = 2
Not at all = 1

I have achieved the following objectives as a result of this educational activity:

Objective: Attendee is able to articulate the 3 key motivation factors for patients.

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* 4. Please use the following rating scale to evaluate the objectives by choosing the corresponding number below:

To a great extent = 4
To a moderate extent = 3
To a slight extent = 2
Not at all = 1

I have achieved the following objectives as a result of this educational activity:

Objective: Attendee is able to articulate the significance of the Coburn Study and its meaning for nurse case management. 

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* 5. Please use the following rating scale to evaluate the objectives by choosing the corresponding number below:

To a great extent = 4
To a moderate extent = 3
To a slight extent = 2
Not at all = 1

I have achieved the following objectives as a result of this educational activity:

Objective: Attendee is able to articulate the key principles and strategies on how to incorporate the science of motivation and the insight of the Coburn study into their practice. 

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* 6. Rate the teaching effectiveness/expertise of EACH Presenter:

Please use this rating scale to evaluate the following by circling the corresponding number below:

Excellent = 4
Good = 3
Fair = 2
Poor = 1


Presenter/Content Specialist: Larry Herring

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* 7. Additional Comments. Please also include your name and email in order to receive your CE certificate. Thank you!

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