Thank you for completing this survey.  We will use your comments to improve future conferences.

Thank you for participating in this education.  Your certificate will be available to print or save upon completion of this questionnaire.  Please answer every question

NOTE:  DO NOT click on the "DONE" button at the end until you have answered all questions and verified your certificate for accuracy.  If corrections need to be made, click "PREV" to return to entry page prior to clicking "DONE".

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* 1. How would you rate the educational value of this recorded session?

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* 2. Please rate how well the stated objectives were met.  Has this education expanded your ability to:

  No improvement Minimal improvement Improved Improved-very confident
Describe the development and design of the AZ CoVHORT
Describe the risk factors of Long CoVID
Describe the current trends for developing Long CoVID

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* 3. Please rate the following:

  Disagree Slighly Disagree Agree Strongly Agree
The faculty's knowledge level was appropriate to address the topic.  If you disagree, please comment.
The faculty presented the information in an understandable way that supported my learning.
The information was free of commercial bias or unnecessary promotion of any proprietary interest or product.  If you disagree, please comment.
I acquired new knowledge that prompted me to change my practice.  Describe changes you will make:
QUIZ QUESTIONS

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* 4. Which of the following populations is least likely to be seen in a dedicated Long COVID clinic?

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* 5. Which of the following care delivery models is shown to be most effective for delivery of Long COVID care?

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* 6. Please provide any additional comments that will help us improve our CME programming.

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* 7. Enter your name to be printed on the attendance certificate

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* 8. Enter your degree(s) and/or credentials to be printed on the attendance certificate, i.e., MD, DO, PA, NP, etc.

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* 9. Date you completed this education (Credit expires on July 18, 2024):

Date

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* 10. This session is approved for 1 Category 1 CME credit.  If you did not attend the entire time, calculate your credit to the nearest 15 mins: 

Note:  15 mins= 0.25 credit,  30 mins= 0.5 credit, 45 mins= 0.75 credit, and 60 mins= 1.0 credit

*ENTER THE AMOUNT OF CREDIT YOU CALCULATED IN THE BOX BELOW NOT TO EXEED 1.O CREDIT.

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* 11. Enter your initials, to be printed on the certificate to attest the time attended.

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