Dentaltown November 2017 - 118

CONTINUING
EDUCATION
ANSWER
SHEET

Instructions: To receive credit, complete the answer sheet and mail it, along with a check or credit card
payment of $36, to: Dentaltown.com, 9633 S. 48th St., Suite 200, Phoenix, AZ 85044. You may also fax this
form to 480-598-3450 or answer the post-test questions online at dentaltown.com/onlinece. This written
self-instructional program is designated for 1.5 hours of CE credit by Farran Media. You will need a minimum
score of 70 percent to receive your credits. Participants pay only if they wish to receive CE credits; thus
no refunds are available. Please print clearly. This course is available to be taken for credit Nov. 1, 2016,
through its expiration on Nov. 1, 2019. Your certificate will be emailed to you within 3-4 weeks.

Are You Staying Ahead of the Ultrasonic Curve?

CE Post-Test
1.

A

B

C

D

2.

A

B

C

D

3.

A

B

4.

A

B

C

D

Name ______________________________________________________________________________________________________

5.

A

B

C

D

Address ___________________________________________________________________________________________________

6.

A

B

C

D

7.

A

B

C

D

8.

A

B

C

D

9.

A

B

C

D

10.

A

B

C

D

by Dani Botbyl, RDH
License Number ______

______

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AGD# _____________________________________________________________________________________________________

City ____________________________________________________

State ___________

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o Check (payable to Dentaltown.com)

Please circle your answers.

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Signature ______________________________________________________________________ Date __________________________________________________

Program Evaluation (required)
Please evaluate this program by circling the corresponding numbers: (5 = Strongly Agree to 1 = Strongly Disagree)
1.
2.
3.
4.
5.
6.
7.
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Course administration was efficient and friendly
Course objectives were consistent with the course as advertised
COURSE OBJECTIVE #1 was adequately addressed and achieved
COURSE OBJECTIVE #2 was adequately addressed and achieved
COURSE OBJECTIVE #3 was adequately addressed and achieved
COURSE OBJECTIVE #4 was adequately addressed and achieved
COURSE OBJECTIVE #5 was adequately addressed and achieved
COURSE OBJECTIVE #6 was adequately addressed and achieved
Course material was up-to-date, well-organized, and presented in sufficient depth
Instructor demonstrated a comprehensive knowledge of the subject
Instructor appeared to be interested and enthusiastic about the subject
Audio-visual materials used were relevant and of high quality
Handout materials enhanced course content
Overall, I would rate this course (5 = Excellent to 1 = Poor):
Overall, I would rate this instructor (5 = Excellent to 1 = Poor):
Overall, this course met my expectations

Comments (positive or negative):

5
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5

4
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1
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_________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________
For questions, contact Director of Continuing Education Howard Goldstein at hogo@dentaltown.com.

118

NOVEMBER 2017 // dentaltown.com


http://www.Dentaltown.com http://www.dentaltown.com/onlinece http://www.Dentaltown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
Dentaltown November 2017 - 3
Dentaltown November 2017 - 4
Dentaltown November 2017 - 5
Dentaltown November 2017 - 6
Dentaltown November 2017 - 7
Dentaltown November 2017 - 8
Dentaltown November 2017 - 9
Dentaltown November 2017 - 10
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Dentaltown November 2017 - 12
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Dentaltown November 2017 - 14
Dentaltown November 2017 - 15
Dentaltown November 2017 - 16
Dentaltown November 2017 - 17
Dentaltown November 2017 - 18
Dentaltown November 2017 - 19
Dentaltown November 2017 - 20
Dentaltown November 2017 - 21
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Dentaltown November 2017 - 28
Dentaltown November 2017 - 29
Dentaltown November 2017 - 30
Dentaltown November 2017 - 31
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Dentaltown November 2017 - 33
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Dentaltown November 2017 - 40
Dentaltown November 2017 - 41
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Dentaltown November 2017 - 118
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Dentaltown November 2017 - Cover3
Dentaltown November 2017 - Cover4
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