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Copenhagen IC19 - Explantation and secondary IOL video course

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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
C. Mehta	C. Mehta 1	C. Mehta 2	C. Mehta 3	C. Mehta 4	C. Mehta 5
K. Mehta	K. Mehta 1	K. Mehta 2	K. Mehta 3	K. Mehta 4	K. Mehta 5
R. Packard	R. Packard 1	R. Packard 2	R. Packard 3	R. Packard 4	R. Packard 5
S. Arshinoff	S. Arshinoff 1	S. Arshinoff 2	S. Arshinoff 3	S. Arshinoff 4	S. Arshinoff 5
J. Bovet	J. Bovet 1	J. Bovet 2	J. Bovet 3	J. Bovet 4	J. Bovet 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
C. Mehta	C. Mehta 1	C. Mehta 2	C. Mehta 3	C. Mehta 4	C. Mehta 5
K. Mehta	K. Mehta 1	K. Mehta 2	K. Mehta 3	K. Mehta 4	K. Mehta 5
R. Packard	R. Packard 1	R. Packard 2	R. Packard 3	R. Packard 4	R. Packard 5
S. Arshinoff	S. Arshinoff 1	S. Arshinoff 2	S. Arshinoff 3	S. Arshinoff 4	S. Arshinoff 5
J. Bovet	J. Bovet 1	J. Bovet 2	J. Bovet 3	J. Bovet 4	J. Bovet 5

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* 11. General Comments and Suggestions: