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* 1. Program Name

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* 2. How many years have you been in practice?

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* 3. Please rate and comment on each speaker at this program. (1 = poor, 5 = excellent)

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* 4. Which presentations provided the most valuable tips or strategies for you to employ in your practice and why?

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* 5. How would you improve this program?  What additional topics or speakers would you have included?

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* 6. Please rate and review this program as a whole (1=Poor, 5=Excellent)

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* 7. Please provide any additional comments.

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* 8. Optional: Name, Firm, City, State

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