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Copenhagen IC14 - Microinvasive glaucoma surgery: ready for prime time?

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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)

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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. Mansouri	K. Mansouri 1	K. Mansouri 2	K. Mansouri 3	K. Mansouri 4	K. Mansouri 5
T. Shaarawy	T. Shaarawy 1	T. Shaarawy 2	T. Shaarawy 3	T. Shaarawy 4	T. Shaarawy 5
S. Dorairaj	S. Dorairaj 1	S. Dorairaj 2	S. Dorairaj 3	S. Dorairaj 4	S. Dorairaj 5
B. Pajic	B. Pajic 1	B. Pajic 2	B. Pajic 3	B. Pajic 4	B. Pajic 5
S. Haldipurkar	S. Haldipurkar 1	S. Haldipurkar 2	S. Haldipurkar 3	S. Haldipurkar 4	S. Haldipurkar 5
Z. Khoueir	Z. Khoueir 1	Z. Khoueir 2	Z. Khoueir 3	Z. Khoueir 4	Z. Khoueir 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. Mansouri	K. Mansouri 1	K. Mansouri 2	K. Mansouri 3	K. Mansouri 4	K. Mansouri 5
T. Shaarawy	T. Shaarawy 1	T. Shaarawy 2	T. Shaarawy 3	T. Shaarawy 4	T. Shaarawy 5
S. Dorairaj	S. Dorairaj 1	S. Dorairaj 2	S. Dorairaj 3	S. Dorairaj 4	S. Dorairaj 5
B. Pajic	B. Pajic 1	B. Pajic 2	B. Pajic 3	B. Pajic 4	B. Pajic 5
S. Haldipurkar	S. Haldipurkar 1	S. Haldipurkar 2	S. Haldipurkar 3	S. Haldipurkar 4	S. Haldipurkar 5
Z. Khoueir	Z. Khoueir 1	Z. Khoueir 2	Z. Khoueir 3	Z. Khoueir 4	Z. Khoueir 5

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* 11. General Comments and Suggestions: