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Country/ Region
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Hong Kong
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Japan
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Title
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Professor
Dr.
Mr.
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Title_other
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First name
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Last name
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Hospital / institute
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Email address
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Are you a member of HKCC?
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Yes
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Would you like to apply for CME points?
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Yes
No
Name on Certificate (please ensure your full/correct name for CME purposes)
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CME Accreditation
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The Hong Kong College of Anaesthesiologists
Hong Kong College of Paediatricians
Hong Kong College of Physicians
The College of Surgeons of Hong Kong
Medical Council of Hong Kong
HCP registration number
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1. The topics discussed in this meeting are relevant to my clinical practice
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Completely Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Completely Agree
Completely Disagree
Item #1 Completely Disagree
Disagree
Item #1 Disagree
Slightly Disagree
Item #1 Slightly Disagree
Slightly Agree
Item #1 Slightly Agree
Agree
Item #1 Agree
Completely Agree
Item #1 Completely Agree
2. As a result of this webinar, I gained new knowledge applicable to my work
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Completely Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Completely Agree
Completely Disagree
Item #1 Completely Disagree
Disagree
Item #1 Disagree
Slightly Disagree
Item #1 Slightly Disagree
Slightly Agree
Item #1 Slightly Agree
Agree
Item #1 Agree
Completely Agree
Item #1 Completely Agree
3. I will incorporate the learnings from this webinar into my clinical practice
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Completely Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Completely Agree
Completely Disagree
Item #1 Completely Disagree
Disagree
Item #1 Disagree
Slightly Disagree
Item #1 Slightly Disagree
Slightly Agree
Item #1 Slightly Agree
Agree
Item #1 Agree
Completely Agree
Item #1 Completely Agree
4. The date and time of the meeting are convenient to my schedule
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Completely Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Completely Agree
Completely Disagree
Item #1 Completely Disagree
Disagree
Item #1 Disagree
Slightly Disagree
Item #1 Slightly Disagree
Slightly Agree
Item #1 Slightly Agree
Agree
Item #1 Agree
Completely Agree
Item #1 Completely Agree
5. I am satisfied with the entire meeting
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Completely Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Completely Agree
Completely Disagree
Item #1 Completely Disagree
Disagree
Item #1 Disagree
Slightly Disagree
Item #1 Slightly Disagree
Slightly Agree
Item #1 Slightly Agree
Agree
Item #1 Agree
Completely Agree
Item #1 Completely Agree
6. How likely would you recommend this meeting to your colleagues?
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Extremely unlikely
Quite unlikely
Slightly unlikely
Slightly likely
Quite likely
Extremely likely
Extremely unlikely
Item #1 Extremely unlikely
Quite unlikely
Item #1 Quite unlikely
Slightly unlikely
Item #1 Slightly unlikely
Slightly likely
Item #1 Slightly likely
Quite likely
Item #1 Quite likely
Extremely likely
Item #1 Extremely likely
7. What learning point(s) is (are) most applicable to your clinical practice? (optional)
8. Do you have any additional comments and suggestions? (optional)
SC-HKG-NP-00216
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