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* 1. Contact Information

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

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* 3. 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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* 4. 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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* 5. If YES to either of the above questions, please identify any changes in practice that you plan to make:

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* 6. If NO 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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* 7. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees?

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

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* 9. 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 2 3 4 - Medium Return 5 6 7 - High Return
Scale

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

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* 11. Your contact information (name, address, phone, and/or email) may be shared with exhibitors, advertisers,
financial/in-kind supporters, and/or others external parties for promotional purposes. You may opt-in/opt-out of having
information used for purposes either directly or indirectly related to this activity by checking a box below.

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