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Copenhagen IC03 - Corneal cross-linking therapy

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* 1. Participant Name:

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* 2. Professional Situation:

Resident

University

Hospital Staff

Ophthalmic Assistant

Private Practice

Industry

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* 3. What was your main reason for choosing this course?

Interesting Topic

Good Faculty

Well-known Course Director

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* 4. How did you rate the content of this course? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 5. How useful was the course for your clinical practice? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 6. Did all listed faculty members attend this course?

Yes

No

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* 7. Was the course free from commercial bias?

Yes

No

If no, what was the bias?

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* 8. Do you have any suggestions to improve the presentations in this course?

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* 9. How did you rate the quality of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
K. Mikek	K. Mikek 1	K. Mikek 2	K. Mikek 3	K. Mikek 4	K. Mikek 5
F. Hafezi	F. Hafezi 1	F. Hafezi 2	F. Hafezi 3	F. Hafezi 4	F. Hafezi 5
C. Koppen	C. Koppen 1	C. Koppen 2	C. Koppen 3	C. Koppen 4	C. Koppen 5
D. O'Brart	D. O'Brart 1	D. O'Brart 2	D. O'Brart 3	D. O'Brart 4	D. O'Brart 5
T. Seiler	T. Seiler 1	T. Seiler 2	T. Seiler 3	T. Seiler 4	T. Seiler 5

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* 10. How did you rate the standard of English of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
K. Mikek	K. Mikek 1	K. Mikek 2	K. Mikek 3	K. Mikek 4	K. Mikek 5
F. Hafezi	F. Hafezi 1	F. Hafezi 2	F. Hafezi 3	F. Hafezi 4	F. Hafezi 5
C. Koppen	C. Koppen 1	C. Koppen 2	C. Koppen 3	C. Koppen 4	C. Koppen 5
D. O'Brart	D. O'Brart 1	D. O'Brart 2	D. O'Brart 3	D. O'Brart 4	D. O'Brart 5
T. Seiler	T. Seiler 1	T. Seiler 2	T. Seiler 3	T. Seiler 4	T. Seiler 5

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* 11. General Comments and Suggestions: