Evaluation Form

The Endocrine Society - CONTROVERSIES IN MANAGING GH & IGF DEFICIENCIES and the potential role of Combination GH/IGF-I for Children and Adults

The Endocrine Society strives to offer high quality CME programs that are educationally balanced and free from commercial bias. Please help us maintain this important standard by providing the requested program assessment.

Please answer the following questions by selecting the appropriate rating:

5 = Outstanding 4 = Good 3 = Satisfactory 2 = Fair 1 = Poor

Professional Category

Professional Category

If Other:

Primary Professional Role

Which of the following best describes your primary & secondary professional role? ("1" for primary, "2" for secondary)

Pediatric Endo

Endo, Diab & Metab

Reproductive Endo

Other

Evaluation

Would you recommend this program to a colleague?

yes no

The content was objective and balanced

yes no

The program was free from commercial bias or influence

yes no

If no, please describe

The program was relavent to my practice/profession

yes no

Will this activity impact how you treat your patients?

yes no

If you answered yes, briefly describe how you will apply what you have learned from this activity to your practice:

Speakers delivery, knowledge and organization of presentation

5 4 3 2 1

If applicable, describe any barriers to implementing what you have learned:

If you have identified a barrier, please tell us how we may help you overcome this barrier:

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