Dentaltown February 2018 - 103

continuing
education

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. Or answer the post-test
questions online at dentaltown.com/ce-840. 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 Feb. 1, 2018, through its expiration on Feb. 1, 2021. Your
certificate will be emailed to you within 3-4 weeks.

Is Endodontics Dying?

CE Post-Test
1.

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D

2.

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D

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Name ______________________________________________________________________________________________________

5.

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Address ___________________________________________________________________________________________________

6.

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D

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8.

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D

9.

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10.

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by Dr. Manor Haas
License Number ______

______

______

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AGD# _____________________________________________________________________________________________________

City ____________________________________________________

State ___________

ZIP ________________________

Daytime phone _____________________________________________________________________________________________
Email (required for certificate) ______________________________________________________________________________
 Check (payable to Dentaltown.com)

Please circle your answers.

 Credit Card (please complete the information below and sign; we accept Visa, MasterCard and American Express.)
Card Number ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______
Expiration Date - Month / Year ______ ______ / ______ ______ ______ ______
Signature ______________________________________________________________________ Date __________________________________________________

Program Evaluation (required)
Please evaluate this program by circling the corresponding numbers: (5 = Strongly Agree to 1 = Strongly Disagree)
1.
2.
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4.
5.
6.
7.
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15.

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 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
5
5
5
5
5
5
5
5
5
5
5
5
5
5

4
4
4
4
4
4
4
4
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4
4
4
4
4
4

3
3
3
3
3
3
3
3
3
3
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3
3
3
3

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

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For questions, contact Director of Continuing Education Howard Goldstein at hogo@dentaltown.com.
dentaltown.com \\ FEBRUARY 2018

103
http://www.Dentaltown.com http://www.dentaltown.com/ce-840 http://www.Dentaltown.com http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown February 2018
