CME REGISTRATION AND EVALUATION FORM

Zobair Younossi MD

NASH

April 4th, 2007

CME Registration

To receive CME credit, please fill this form out at the end of the meeting.

Name/Degree:
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Evaluation

Please evauate the effectiveness of this CME/CE activity on a scale of 1 to 5, with 1 being the LOWEST, and 5 being the HIGHEST.

1. 1 2 3 4 5 Overall quality of this CME/CE activity

2. 1 2 3 4 5 Content

3. 1 2 3 4 5 Format

4. 1 2 3 4 5 Faculty/Speakers

5. Achievement of educational objectives:

5a. 1 2 3 4 5 Objective: Gain a greater understanding of the prevalence and impact of NASH/Fatty Liver.

5b. 1 2 3 4 5 Objective: Understand how NALFD and NASH progress.

5c. 1 2 3 4 5 Objective: Understand symptoms, testing, and treatment of NASH/Fatty Liver.

6. 1 2 3 4 5 This CME activity provided a balanced, scientifically rigorous presentation of therapeutic options related to the topic, without commercial bias.
(Please comment)

7. Please comment on the impact (if any) that this CME activity might have on your practice.
 (Please comment)

8. Additional comments and/or suggested topics for future CME/CE activities?
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I am claiming that I participated in one credit hour of this CME activity.

I certify that I have completed this CME/CE activity as designed.
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