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* 1. What is your degree?

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* 2. What is your specialty?

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* 3. How many years have you been in practice?

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* 4. How many patients with severe asthma do you manage per week?  

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* 5. Please select the option that best describes your practice setting.

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* 6. After participating in this activity, how confident are you in the management of patients with severe asthma in your practice?

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* 7. How committed are you to making changes in your practice based on your participation in this activity? 

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* 8. Which of the following best describes the impact of this activity on your performance? 

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* 9. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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* 10. What barriers do you see to making changes in your practice? Please select all that apply

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* 11. Please rate your level of agreement by checking the appropriate rating.

Eileen Wang, MD, MPH effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 12. Please rate your level of agreement by checking the appropriate rating.

Michael Wechsler, MD, MMSc effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 13. Please rate your level of agreement by checking the appropriate rating.

The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Met identified learning objectives
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in health care
Was scientifically rigorous and evidence based
Was free of commercial bias

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* 14. If you indicated that you perceived commercial bias or influence, please describe:

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* 15. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 16. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for severe asthma:

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