CE Satisfaction Survey
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This is for electronic submission

The CDC/ATSDR Continuing Education Office would like you to answer some questions about your satisfaction with the continuing education process and Learner Support services. Your feedback is very important to us for providing quality services.

Name of Educational Activity

Activity Number

For each statement, mark the answer to the right that best indicates your agreement with the item.

 Strongly disagreeDisagreeAgreeStrongly AgreeNot Applicable
1. The CE website presented clear directions for how to complete a continuing education(CE) proposal.
2. The guidance I received from the CE Consultant was helpful.
3. The timeline for preparing my CE proposal was appropiate for my needs.
4.When I had a question or needed help, the CE Office staff was responsive to my needs.
5. My questions were answered promptly.
6. The CE Office staff was courteous.
7. I would be willing to work with the CE Office again to provide CE Credits.

If your educational activity is linked to the CDC/ATSDRs Training and Continuing Education Online system, please answer the following questions:

 Strongly DisagreeDisagreeAgreeStrongly AgreeNot Applicable
8. The participants find/found the online system easy to use.
9. It is/was easy for me to access the online system.
10. I received prompt feedback to my questions about the online system.
11. If I am involved in planning another educational activity, I will use the online system again.

Please write in any additional comments and suggestions below.

If you would rather return a hard copy of this form, print, complete, and mail it to Continuing Education, Attn: Valerie Curry, CDC, Mailstop E-96, 1600 Clifton Rd. Atlanta, GA 30333.