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Paris IC62 - Functional oculoplastic surgery for cataract and refractive surgeons

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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
V. Thaller	V. Thaller 1	V. Thaller 2	V. Thaller 3	V. Thaller 4	V. Thaller 5
G. Charonis	G. Charonis 1	G. Charonis 2	G. Charonis 3	G. Charonis 4	G. Charonis 5
E. Dafgard-Kopp	E. Dafgard-Kopp 1	E. Dafgard-Kopp 2	E. Dafgard-Kopp 3	E. Dafgard-Kopp 4	E. Dafgard-Kopp 5
R. de Keizer	R. de Keizer 1	R. de Keizer 2	R. de Keizer 3	R. de Keizer 4	R. de Keizer 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
V. Thaller	V. Thaller 1	V. Thaller 2	V. Thaller 3	V. Thaller 4	V. Thaller 5
G. Charonis	G. Charonis 1	G. Charonis 2	G. Charonis 3	G. Charonis 4	G. Charonis 5
E. Dafgard-Kopp	E. Dafgard-Kopp 1	E. Dafgard-Kopp 2	E. Dafgard-Kopp 3	E. Dafgard-Kopp 4	E. Dafgard-Kopp 5
R. de Keizer	R. de Keizer 1	R. de Keizer 2	R. de Keizer 3	R. de Keizer 4	R. de Keizer 5

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* 11. General Comments and Suggestions: