I have been a practicing clinician for: *

- Select -Less than 1 year1-5 years 6-10 years 11-15 years16-20 years20+ years I do not currently practice

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

- Select -Endocrinology, MetabolismCardiology, GeneralFamily/Internal Medicine/Primary Care HospitalistNeurologyGastroenterology ImmunologyNephrologyGenetics and Genomics DermatologyPsychiatrySurgeryPhDFunctional/Integrative PharmacistI do not currently practice

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
Discuss the literature on BHRT in women; related to benefits, risks and side effects	Discuss the literature on BHRT in women; related to benefits, risks and side effects - Strongly Disagree	Discuss the literature on BHRT in women; related to benefits, risks and side effects - Disagree	Discuss the literature on BHRT in women; related to benefits, risks and side effects - Neutral	Discuss the literature on BHRT in women; related to benefits, risks and side effects - Agree	Discuss the literature on BHRT in women; related to benefits, risks and side effects - Strongly Agree
Apply the course material to a variety of common case presentations to ensure all details of consultation, prescription writing process, and case management are addressed	Apply the course material to a variety of common case presentations to ensure all details of consultation, prescription writing process, and case management are addressed - Strongly Disagree	Apply the course material to a variety of common case presentations to ensure all details of consultation, prescription writing process, and case management are addressed - Disagree	Apply the course material to a variety of common case presentations to ensure all details of consultation, prescription writing process, and case management are addressed - Neutral	Apply the course material to a variety of common case presentations to ensure all details of consultation, prescription writing process, and case management are addressed - Agree	Apply the course material to a variety of common case presentations to ensure all details of consultation, prescription writing process, and case management are addressed - Strongly Agree
Review specific concerns by patients with respect to breast cancer, stroke and heart disease	Review specific concerns by patients with respect to breast cancer, stroke and heart disease - Strongly Disagree	Review specific concerns by patients with respect to breast cancer, stroke and heart disease - Disagree	Review specific concerns by patients with respect to breast cancer, stroke and heart disease - Neutral	Review specific concerns by patients with respect to breast cancer, stroke and heart disease - Agree	Review specific concerns by patients with respect to breast cancer, stroke and heart disease - 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:

Which of the following do you anticipate will be the primary barrier to implementing these changes? *

Time constraints

System constraints

Insurance/financial issues

Lack of inter-professional team support

Treatment related adverse events

Lack of convincing evidence to warrant change

Lack of knowledge regarding evidence-based strategies

Patient adherence/compliance

I do not currently practice

Other...

Which of the following do you anticipate will be the primary barrier to implementing these changes? Other...

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
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
Sahar Swidan, PharmD	Sahar Swidan, PharmD - Excellent	Sahar Swidan, PharmD - Above Average	Sahar Swidan, PharmD - Average	Sahar Swidan, PharmD - Fair	Sahar Swidan, PharmD - Poor
Tara Scott, MD	Tara Scott, MD - Excellent	Tara Scott, MD - Above Average	Tara Scott, MD - Average	Tara Scott, MD - Fair	Tara Scott, MD - Poor
Doreen Saltiel, MD	Doreen Saltiel, MD - Excellent	Doreen Saltiel, MD - Above Average	Doreen Saltiel, MD - Average	Doreen Saltiel, MD - Fair	Doreen Saltiel, 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?

Women's HealthMen’s HealthChronic Inflammatory Response SyndromeGenomicsToxinsHRTWeight ManagementNutritionSports MedicineImmunity and AgingPeptidesOther...

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

I prefer to receive CME through: *

- Select -Live EventsOnline CMEMedical Journals or NewslettersOther...

I prefer to receive CME through: Other...

Leave this field blank