Module VII: Inflammaging and AutoImmunity CME Evaluation

I have been a practicing clinician for: *

Please indicate which of the following best describes your specialty: *

Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objectives? *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Examine the role the immune system plays in neurologic disorders	Examine the role the immune system plays in neurologic disorders - Strongly Disagree	Examine the role the immune system plays in neurologic disorders - Disagree	Examine the role the immune system plays in neurologic disorders - Neutral	Examine the role the immune system plays in neurologic disorders - Agree	Examine the role the immune system plays in neurologic disorders - Strongly Agree
Synthesize knowledge regarding the relationship between the microbiome and brain health	Synthesize knowledge regarding the relationship between the microbiome and brain health - Strongly Disagree	Synthesize knowledge regarding the relationship between the microbiome and brain health - Disagree	Synthesize knowledge regarding the relationship between the microbiome and brain health - Neutral	Synthesize knowledge regarding the relationship between the microbiome and brain health - Agree	Synthesize knowledge regarding the relationship between the microbiome and brain health - Strongly Agree
Explain the crosstalk that occurs within the neuroimmune-endocrine axis	Explain the crosstalk that occurs within the neuroimmune-endocrine axis - Strongly Disagree	Explain the crosstalk that occurs within the neuroimmune-endocrine axis - Disagree	Explain the crosstalk that occurs within the neuroimmune-endocrine axis - Neutral	Explain the crosstalk that occurs within the neuroimmune-endocrine axis - Agree	Explain the crosstalk that occurs within the neuroimmune-endocrine axis - Strongly Agree

If you answered "Strongly Disagree" or "Disagree" please explain:

Please select the extent to which you agree/disagree that the activity achieved the following: *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The content was evidence-based	The content was evidence-based - Strongly Disagree	The content was evidence-based - Disagree	The content was evidence-based - Neutral	The content was evidence-based - Agree	The content was evidence-based - Strongly Agree
The educational material provided useful information for my practice	The educational material provided useful information for my practice - Strongly Disagree	The educational material provided useful information for my practice - Disagree	The educational material provided useful information for my practice - Neutral	The educational material provided useful information for my practice - Agree	The educational material provided useful information for my practice - Strongly Agree
The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity)	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Strongly Disagree	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Disagree	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Neutral	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Agree	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Strongly Agree

If you answered "Strongly Disagree" or "Disagree" please explain:

To what degree did/will this activity: *

	Significantly	Moderately	Minimally	Not at all
Increase your knowledge	Increase your knowledge - Significantly	Increase your knowledge - Moderately	Increase your knowledge - Minimally	Increase your knowledge - Not at all
Change your competence	Change your competence - Significantly	Change your competence - Moderately	Change your competence - Minimally	Change your competence - Not at all
Change your practice performance	Change your practice performance - Significantly	Change your practice performance - Moderately	Change your practice performance - Minimally	Change your practice performance - Not at all
Change patient care	Change patient care - Significantly	Change patient care - Moderately	Change patient care - Minimally	Change patient care - Not at all

Do you plan to implement & utilize the information you have received at this course? *

Yes

No

If you answered "No", please explain:

Was this activity free of commercial bias? *

Yes

No

If you answered "No", please explain:

Please rate the faculty *

	Excellent	Above Average	Average	Fair	Poor
Mark Rosenberg, MD	Mark Rosenberg, MD - Excellent	Mark Rosenberg, MD - Above Average	Mark Rosenberg, MD - Average	Mark Rosenberg, MD - Fair	Mark Rosenberg, MD - Poor
Ritchie Shoemaker, MD	Ritchie Shoemaker, MD - Excellent	Ritchie Shoemaker, MD - Above Average	Ritchie Shoemaker, MD - Average	Ritchie Shoemaker, MD - Fair	Ritchie Shoemaker, MD - Poor
Elisa Song, MD	Elisa Song, MD - Excellent	Elisa Song, MD - Above Average	Elisa Song, MD - Average	Elisa Song, MD - Fair	Elisa Song, MD - Poor
Joseph Bellanti, MD	Joseph Bellanti, MD - Excellent	Joseph Bellanti, MD - Above Average	Joseph Bellanti, MD - Average	Joseph Bellanti, MD - Fair	Joseph Bellanti, MD - Poor
Sara Gottfried, MD	Sara Gottfried, MD - Excellent	Sara Gottfried, MD - Above Average	Sara Gottfried, MD - Average	Sara Gottfried, MD - Fair	Sara Gottfried, MD - Poor
Andrew Heyman, MD, MHSA	Andrew Heyman, MD, MHSA - Excellent	Andrew Heyman, MD, MHSA - Above Average	Andrew Heyman, MD, MHSA - Average	Andrew Heyman, MD, MHSA - Fair	Andrew Heyman, MD, MHSA - Poor
James LaValle, RPh, CCN	James LaValle, RPh, CCN - Excellent	James LaValle, RPh, CCN - Above Average	James LaValle, RPh, CCN - Average	James LaValle, RPh, CCN - Fair	James LaValle, RPh, CCN - Poor
Sharon McQuillan, MD	Sharon McQuillan, MD - Excellent	Sharon McQuillan, MD - Above Average	Sharon McQuillan, MD - Average	Sharon McQuillan, MD - Fair	Sharon McQuillan, MD - Poor
Rafael Gonzalez, PhD	Rafael Gonzalez, PhD - Excellent	Rafael Gonzalez, PhD - Above Average	Rafael Gonzalez, PhD - Average	Rafael Gonzalez, PhD - Fair	Rafael Gonzalez, PhD - Poor
George Munoz, MD	George Munoz, MD - Excellent	George Munoz, MD - Above Average	George Munoz, MD - Average	George Munoz, MD - Fair	George Munoz, MD - Poor
Michelle Petri, MD, MPH	Michelle Petri, MD, MPH - Excellent	Michelle Petri, MD, MPH - Above Average	Michelle Petri, MD, MPH - Average	Michelle Petri, MD, MPH - Fair	Michelle Petri, MD, MPH - Poor
Sahar Swidan, PharmD, BCPS, ABAAHP, FMNM	Sahar Swidan, PharmD, BCPS, ABAAHP, FMNM - Excellent	Sahar Swidan, PharmD, BCPS, ABAAHP, FMNM - Above Average	Sahar Swidan, PharmD, BCPS, ABAAHP, FMNM - Average	Sahar Swidan, PharmD, BCPS, ABAAHP, FMNM - Fair	Sahar Swidan, PharmD, BCPS, ABAAHP, FMNM - Poor
Theoharis Theoharides, MS, MPhil, PhD, MD, FAAAAI	Theoharis Theoharides, MS, MPhil, PhD, MD, FAAAAI - Excellent	Theoharis Theoharides, MS, MPhil, PhD, MD, FAAAAI - Above Average	Theoharis Theoharides, MS, MPhil, PhD, MD, FAAAAI - Average	Theoharis Theoharides, MS, MPhil, PhD, MD, FAAAAI - Fair	Theoharis Theoharides, MS, MPhil, PhD, MD, FAAAAI - Poor
Terry Wahls, MD	Terry Wahls, MD - Excellent	Terry Wahls, MD - Above Average	Terry Wahls, MD - Average	Terry Wahls, MD - Fair	Terry Wahls, MD - Poor

Please feel free to comment on any aspect of this activity. (Optional)

Specific to your specialty, what other topics would be beneficial in your practice for future educational activities?

Specific to your specialty, what other topics would be beneficial in your practice for future educational activities? Other...

I prefer to receive CME through: *

I prefer to receive CME through: Other...

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