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
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
Understand the crosstalk that occurs within the neuroimmune-endocrine axis	Understand the crosstalk that occurs within the neuroimmune-endocrine axis - Strongly Disagree	Understand the crosstalk that occurs within the neuroimmune-endocrine axis - Disagree	Understand the crosstalk that occurs within the neuroimmune-endocrine axis - Neutral	Understand the crosstalk that occurs within the neuroimmune-endocrine axis - Agree	Understand 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:

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
Robyn Klein, MD, PhD	Robyn Klein, MD, PhD - Excellent	Robyn Klein, MD, PhD - Above Average	Robyn Klein, MD, PhD - Average	Robyn Klein, MD, PhD - Fair	Robyn Klein, MD, PhD - Poor
Elizabeth Stuller, MD	Elizabeth Stuller, MD - Excellent	Elizabeth Stuller, MD - Above Average	Elizabeth Stuller, MD - Average	Elizabeth Stuller, MD - Fair	Elizabeth Stuller, 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
Charles Argoff, MD	Charles Argoff, MD - Excellent	Charles Argoff, MD - Above Average	Charles Argoff, MD - Average	Charles Argoff, MD - Fair	Charles Argoff, MD - Poor
Dale Bredesen, MD	Dale Bredesen, MD - Excellent	Dale Bredesen, MD - Above Average	Dale Bredesen, MD - Average	Dale Bredesen, MD - Fair	Dale Bredesen, MD - Poor
Louis Cady, MD	Louis Cady, MD - Excellent	Louis Cady, MD - Above Average	Louis Cady, MD - Average	Louis Cady, MD - Fair	Louis Cady, MD - Poor
Wade Cooper, DO	Wade Cooper, DO - Excellent	Wade Cooper, DO - Above Average	Wade Cooper, DO - Average	Wade Cooper, DO - Fair	Wade Cooper, DO - Poor
Paul Harch, MD	Paul Harch, MD - Excellent	Paul Harch, MD - Above Average	Paul Harch, MD - Average	Paul Harch, MD - Fair	Paul Harch, MD - Poor
Michael Irwin, MD	Michael Irwin, MD - Excellent	Michael Irwin, MD - Above Average	Michael Irwin, MD - Average	Michael Irwin, MD - Fair	Michael Irwin, MD - 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
Jay Lombard, DO	Jay Lombard, DO - Excellent	Jay Lombard, DO - Above Average	Jay Lombard, DO - Average	Jay Lombard, DO - Fair	Jay Lombard, DO - Poor
Joseph Maroon, MD	Joseph Maroon, MD - Excellent	Joseph Maroon, MD - Above Average	Joseph Maroon, MD - Average	Joseph Maroon, MD - Fair	Joseph Maroon, MD - 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
Ken Sharlin, MD	Ken Sharlin, MD - Excellent	Ken Sharlin, MD - Above Average	Ken Sharlin, MD - Average	Ken Sharlin, MD - Fair	Ken Sharlin, MD - Poor
Elizabeth Stuller, MD	Elizabeth Stuller, MD - Excellent	Elizabeth Stuller, MD - Above Average	Elizabeth Stuller, MD - Average	Elizabeth Stuller, MD - Fair	Elizabeth Stuller, MD - 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
Rudolph Tanzi, PhD	Rudolph Tanzi, PhD - Excellent	Rudolph Tanzi, PhD - Above Average	Rudolph Tanzi, PhD - Average	Rudolph Tanzi, PhD - Fair	Rudolph Tanzi, PhD - 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