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Paris IC63 - Ocular surface procedures in the treatment room

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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
A. Slomovic	A. Slomovic 1	A. Slomovic 2	A. Slomovic 3	A. Slomovic 4	A. Slomovic 5
D. Rootman	D. Rootman 1	D. Rootman 2	D. Rootman 3	D. Rootman 4	D. Rootman 5
G. Santaella Serrano	G. Santaella Serrano 1	G. Santaella Serrano 2	G. Santaella Serrano 3	G. Santaella Serrano 4	G. Santaella Serrano 5
N. Singal	N. Singal 1	N. Singal 2	N. Singal 3	N. Singal 4	N. Singal 5
T. Trinh	T. Trinh 1	T. Trinh 2	T. Trinh 3	T. Trinh 4	T. Trinh 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
A. Slomovic	A. Slomovic 1	A. Slomovic 2	A. Slomovic 3	A. Slomovic 4	A. Slomovic 5
D. Rootman	D. Rootman 1	D. Rootman 2	D. Rootman 3	D. Rootman 4	D. Rootman 5
G. Santaella Serrano	G. Santaella Serrano 1	G. Santaella Serrano 2	G. Santaella Serrano 3	G. Santaella Serrano 4	G. Santaella Serrano 5
N. Singal	N. Singal 1	N. Singal 2	N. Singal 3	N. Singal 4	N. Singal 5
T. Trinh	T. Trinh 1	T. Trinh 2	T. Trinh 3	T. Trinh 4	T. Trinh 5

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* 11. General Comments and Suggestions: