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EEG Advanced Clinical Summit
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How would you like your name to appear on your certificate?



How many credit hours did you complete?
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
Was the educational content of value to you?
Was the educational content scientifically sound?
If no, please explain...
Did you perceive any commercial bias or influence in the educational content?
If yes, what...
Did this activity improve your competence, or performance?
If yes, how...
Tell us how well or poorly we met any of the educational objectives
What did you learn that will help you in your practice?
What questions are you having in your practice that you would like to see addressed in an educational activity?
Please rate the quality of the live-streaming, audio and visual included.
Provide additional comments about the quality of the live streaming below. 
Please rate the quality of the online chat dicussions.
Provide additional comments about the online chat discussions below.
Please rate the quality of the remote group discussion.
Provide additional comments about the remote group discussions below. 
Did you participate in this online streaming in a group or alone? 
Please rate speaker: Hanno Kirk, PhD, LICSW
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Please rate speaker: Minh Chau Le
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Please rate speaker: Sue Othmer, BCN
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Please rate speaker: Matt Fleischman, PhD
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Please rate speaker: Dr. Virginia Rojas Albrieux
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Please rate speaker: Kelley Villegas, OTR
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Please rate speaker: Roxana Sasu, RN
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Please rate speaker: Evvy Shapero, MA
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Please rate speaker: Helen L. Irlen, MA, LMFT
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Please rate speaker: Philippe Gauffriau, OT
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Please rate speaker: Siegfried Othmer, PhD
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Please rate speaker: Meike Wiedemann, PhD
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Please rate speaker: Clare Chisholm, MA, LCPC
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