The American Pain Foundation: Survey - Webinar Evaluation

Webinar Evaluation - Maybe It's Fibro?

*1.

Question - Required - Please indicate which webinar you are evaluating. Maybe It's Fibro? Signs & Symptoms with Dr. Robert Gerwin
Maybe It's Fibro? Treatment and Management with Dr. Daniel Clauw
Maybe It's Fibro? The Fibro Experience: Perspectives of Peers and Nursing

2.

Question - Not Required - Please rate the general information and flow of the presentation on a scale of 1-5 (1=poor and 5=excellent). 1
2
3
4
5

3.

Question - Not Required - Please rate the speaker's knowledge of content on a scale of 1-5 (1=poor and 5=excellent). 1
2
3
4
5

4.

Question - Not Required - Please comment on why you provided the above rating.

(Maximum response 255 chars, approx. 5 rows of text)

5.

Question - Not Required - Your overall evaluation of this presentation (1=poor and 5=excellent). 1
2
3
4
5

6.

Question - Not Required - Do you believe that you have a better understanding of fibromyalgia?

7.

Question - Not Required - Have you participated in an educational presentation via telephone conference or webinar before?

8.

Question - Not Required - Would you participate in an educational presentation via telephone conference or webinar in the future?

9.

Question - Not Required - Please let us know your suggestions for topics or specific questions you would like to see answered in future presentations on fibromyalgia.

(Maximum response 255 chars, approx. 5 rows of text)

10.

Question - Not Required - Please let us know your suggestions for potential speakers for future webinars on fibromyalgia.

(Maximum response 255 chars, approx. 5 rows of text)

11.

Question - Not Required - You are?

	Person with pain (diagnosed with fibromyalgia)
	Person with pain (think you may have fibromyalgia, but have not been diagnosed)
	Person with pain (conditions other than fibromyalgia)
	Caregiver/loved one
	Healthcare professional
	Other

12.

Question - Not Required - If you have NOT been diagnosed with fibromyalgia, do you plan to speak with your healthcare professional about fibromyalgia?

13.

Question - Not Required - Do you intend to visit any of the resources provided in the webinar for further information on fibromyalgia? If so, which resources do you intend to use? (Check all that apply)

	APF website - www.painfoundation.org
	APF online guide and self-assessment tool for fibromyalgia
	APF PainAid - http://painaid.painfoundation.org
	National Fibromyalgia Association - www. fmaware.org
	FibroCenter.com - www.fibrocenter.com
	Other

14.

Question - Not Required - Will you pass along information to people you know with fibromyalgia or people who seem to be experiencing symptoms, such as chronic widespread pain? Yes
No
I don't know other people with fibromyalgia

15.

To receive more information about the American Pain Foundation, please provide us with your contact information.

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This project was developed in collaboration with Pfizer Inc

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