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Online Liver Educational Program Evaluation Form

* Required Fields
WHAT PROGRAM DID YOU WATCH?*
Hepatitis C Treatment Lecture: Should I Wait Or Do It Now? Dr. Douglas DieterichAutoimmune Hepatitis Lecture Dr. Paul Gaglio
Diet, Nutrition & Exercise Lecture Dr. Melissa PalmerNash/Fatty Liver Lecture Dr. Patrick Basu
Primary Biliary Cirrhosis Lecture Dr. Henry Bodenheimer, Jr.Liver Cancer Lecture Dr. David Wolf
Hepatitis B Lecture Dr. Ira JacobsenCirrhosis Lecture: What Everyone Should Know About Cirrhosis Dr. John Reinus
Liver Transplantation Lecture Dr. Robert BrownLiver Cell Transplantation Lecture Dr. David Shafritz
KNOWLEDGE BEFORE THE PROGRAM?
Before viewing this program, my knowledge on this topic was:*
ExcellentVery Good
GoodFair
Poor
KNOWLEDGE AFTER VIEWING?
As a result of this program, my knowledge is now:*
ExcellentVery Good
GoodFair
Poor
ABOUT YOU:
Age:*
Under 1818-29
30-4950-65
65+
Gender:*
MaleFemale
Ethnicity:
African AmericanAsian/Pacific Islander, please specify
Caucasian Latino, please specify
Other, please specify
Are you a (please check all that apply):
PatientMedical Professional
Social Service ProfessionalGeneral Audience
Family Member/CaregiverOther
How did you hear about this program?
FriendNewsletter
ALF Web siteDoctor/Health Care Clinician
Other
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THANK YOU!

Page updated: October 4th, 2011