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Name
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First Name
Last Name
Email
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example@example.com
What best describes your title?
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MD/DO
RN/NP
PA
PharmD/RPh
Respiratory Therapist
Non-Clinician Research Coordinator
Other
If MD/DO
cardiologist (interventional)
cardiologist (heart failure)
cardiologist (lipid/vascular)
cardiologist (general)
endocrinologist
nephrologist
emergency medicine specialist
critical care specialist
pulmonologist
primary care provider
industry
Other
If RN/NP
NPP
ICU
cath lab
ward
clinic
academic
industry
Other
If PharmD
hospital/health system-based
community
academic
industry
Other
If PharmD, DOB
-
Month
-
Day
Year
Date
If PharmD, NABP ID#
Where are you based?
EU/GB
Canada
USA
Latin America
Australia/NZ
Asia
How did you FIRST hear about our tweetorials?
found it on Twitter searching in subject area
found it on twitter searching for CE/CME
found it on Twitter by following individual influencer
found it on Twitter by following institutional influencer
from LinkedIn
How many years have you been in practice?
How many patients do you typically see each month?
Your patient has this profile:
1. What is your preferred next pharmacological option for this person, considering those priorities?
*
DDP-4 inhibitor
Pioglitazone
Insulin
GLP-1
Your patient has this profile:
2. What class of agents might you consider that might help all the priorities for this person?
*
GLP-1
SGLT2 inhibitor
Sulphonylurea
Pioglitazone
3. Did you follow the entire tweetorial?
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Yes
No
4. Did you find this to be an effective learning tool?
*
Yes
No
5. Will you refer colleagues to similar programs from @cardiomet_CE?
*
Yes
No
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Month
-
Day
Year
Date
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