Name* First Last Name as it should appear on certificate*What is your profession?*OphthalmologistOptometristOtherARBO OE Tracker Number*State of LicenseLicense NumberEmail* How long did it take you to complete this activity?Hours*1.75.50.25HH:MMObjectivesThe course met the stated objectives Review the functional and structural tests helpful in diagnosing and characterizing inherited retinal disease (IRD) patients*Strongly disagreeDisagreeNeutralAgreeStrongly agreeEvaluate the role and benefits of genetic testing for IRD patients*Strongly disagreeDisagreeNeutralAgreeStrongly agreeDescribe the management of common complications associated with IRDs including cystoid macular edema and cataracts*Strongly disagreeDisagreeNeutralAgreeStrongly agreeDescribe helpful resources for IRD patients*Strongly disagreeDisagreeNeutralAgreeStrongly agreeContentPlease rate your level of agreement with the following statements. This activity… Helped me to have a better understanding of the topic(s).*Strongly disagreeDisagreeNeutralAgreeStrongly agreeAssisted me to consider using the information in a different way to improve my practice.*Strongly disagreeDisagreeNeutralAgreeStrongly agreeProvided me with resources I can use in my daily practice or with my patients.*Strongly disagreeDisagreeNeutralAgreeStrongly agreeWill support my routine clinical practice to deliver evidence-based, best practice that improves patient health outcomes.*Strongly disagreeDisagreeNeutralAgreeStrongly agreeFacultyRate the quality of the faculty member(s) listed below, from 5 (Excellent) to 1 (Poor). Rachel Huckfeldt, MD, PhD*54321N/AContentClinical RelevanceTeaching StrategiesLevel of ExpertiseCredibilityWill you change the way you practice based on this activity?*YesNoDo you feel the activity was balanced and objective?*YesNoDo you feel the activity was free of commercial bias?*YesNoApproximately what percent of this content was NEW to you?*25%50%75%This was all new information to me.As compared to other CME activities you have participated in the past six months, do you believe this activity:*Increased your knowledgeWill improve patient outcomes in your practiceWhat I liked about this activity…? (Select all that apply)* It allowed me to interact with my peers and faculty It provided feedback throughout the activity It provided information in ways that I can review again later It gave me the opportunity to apply information to realistic scenarios that I confront in my practice It facilitated the sharing of experiences and best practices In the past six months, how many CME programs have you participated in?*1 – 45 – 1011 – 15Greater than 15What was the most useful information you gained from this activity?Suggested Topics for future activities:General comments/suggestions: