MBayGRC Annual CME Course 2010-2011 Survey

1. Background Information

Background Information Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

*

2. What did you propose to do for your special project?

What did you propose to do for your special project?

*

3. Did you carry out your project?

Did you carry out your project?

4. If you carried out your project, what were the results or outcomes?

If you carried out your project, what were the results or outcomes?

5. Is the project on-going?

Is the project on-going?

6. If you did not carry out your project, what are the reasons or barriers?

If you did not carry out your project, what are the reasons or barriers?

*

7. As you reflect back on the course, what insights, knowledge or skills did you receive that you are applying in your practice/teaching?

As you reflect back on the course, what insights, knowledge or skills did you receive that you are applying in your practice/teaching?

MBayGRC Annual CME Course 2010-2011Exit this survey