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* 1. Please share the name of your organization.

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* 2. Which of the following best describes you?

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* 3. Please select the state (or territory) where your organization is based.

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* 4. How did you hear about this webinar?

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* 5. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Describe the burden of HPV infection and related disease

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* 6. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Provide information about HPV vaccination, including recommendations, safety, and impact

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* 7. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Share and employ best practices for HPV vaccine communication and strong recommendations

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* 8. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Utilize CDC's HPV vaccine communication products and messages

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* 9. Please rate the relevance of this information to your work/professional development:

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* 10. Please rate the overall quality of the presentation given by  Anne Schuchat, M.D.

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* 11. Please rate the overall quality of the presentation given by Jill B. Roark, MPH

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* 12. Overall quality of the session

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* 13. What do feel is the biggest barrier to improving HPV vaccination rates?

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* 14. What type of training or education would help you feel more comfortable recommending this vaccine to adolescents and their parents?

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* 15. Do you routinely recommend HPV vaccine to 11-12 year old female patients?

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* 16. Do you routinely recommend HPV vaccine to 11-12 year old male patients?

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* 17. Were you able to access the presentation on-line through WebEx? If not, please describe any technical issues encountered.

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* 18. How many persons listened to the Webinar at your site?

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* 19. What is the most important thing or idea you learned from this webinar?

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* 20. How might you incorporate this new information into your organization?

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* 21. Please share other feedback or suggestions on the session.

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