This brief follow-up survey is to assess knowledge retention and determine your progress in making practice changes that were influenced by this activity. Please complete both sections below. An * indicates the field is required. At the end of the survey, click the Submit button.

Test Questions

Test questions enable us to accurately measure outcomes for this activity. Responses are collected from participants one week prior to the activity, at the conclusion of the activity, and 3-months post-activity. To fulfill the final step of this process, please select the correct answer for the following test questions.

A new, 4-year-old patient presents to your office with the chief complaint of not being toilet-trained. Your developmental history reveals she is globally delayed in all areas: self-help, language, gross and fine motor skills and social-emotional skills. Your exam reveals microcephaly, mild generalized hypotonia and dysmorphic facial features.
A nonverbal 10-year-old child with ASD comes to your office. He has a new self-injurious behavior of punching his face.
Please explain your 'Other Commitment to Change'.