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* 1. Was the information presented in this activity biased and/or compromised by commercial support?

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* 2. How do you rate Dr. Twillman's delivery of this education?

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* 3. Did this activity meet its stated learning objectives? Check ALL that were met.

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* 4. How do you rate Dr. Gokani's delivery of this education?

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* 5. Did this activity meet its stated learning objectives? Check ALL that were met.

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* 6. Did this activity provide new information to you?

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* 7. Was the educational approach used in this activity conducive to your learning experience?

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* 8. Was the information presented applicable to your clinical practice?

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* 9. Will the information presented help you to improve your patients’ outcomes?

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* 10. This activity increased my knowledge, competence, and/or will improve my performance in my practice

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* 11. Of the patients you will see in the next week, about how many will benefit from the information you learned by participating in this activity?

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* 12. Based upon your participation in this activity, do you intend to change your practice behavior?

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* 13. If you plan to change your practice behavior, what type of change(s) do you plan to implement? Check all that apply.

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* 14. Are there any barriers that would keep you from implementing the practice paradigms discussed in this activity?

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* 15. Please give us your overall comments regarding this activity.

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* 16. Claim Credit

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* 18. Please Fill out the form below for your CME/CE Certificate

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* 19. What is your specialty (Ex. Family Practice, Neurology, etc)

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* 23. What is your practice like?

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