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* 1. Contact Information [NOTE: If you do not have an AAP ID #, please enter N/A in that field]

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* 2. Please enter your credentials (MD, DO, RN, LPN, etc)

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* 3. I am participating in the Childhood Obesity in Primary Care Collaborative

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* 4. A key driver diagram

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* 5. PDSA stands for:

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* 6. All of the following are true of PDSA cycles, EXCEPT:

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* 7. Were the individual learning objectives of this CME activity achieved?

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* 8. Based on what you learned in this activity, do you plan to change: The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

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* 9. Based on what you learned in this activity, do you plan to change: What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

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* 10. If "No" to question 9 and 10, and you do not plan to make changes in practice other than lack of time and resources, why not? (select all that apply)

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* 11. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content?

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* 12. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity?

1-Low Return 4-Medium Return 7-High Return
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i We adjusted the number you entered based on the slider’s scale.

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* 13. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitioners)?

T