Question Title

* 1. Attendee Name

Question Title

* 2. Email

Question Title

* 3. Organization

Question Title

* 4. Please identify license held:

Question Title

* 5. License number (if not applicable, please write N/A):

Question Title

* 6. Upon completion of this activity, the audience will be able to:

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
Identify the diversifying demographics of California and the Alliance service areas.
Examine the impact of race/ethnicity and social determinants of health on maternal child healthcare outcomes.
Demonstrate effective anti-racism and allyship in their clinical practice.
Create strategies to overcome structural barriers and promote health equity.

Question Title

* 7. The facilitators were qualified to present this material.

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
Carmin Powell MD
Cristina Gamboa MD

Question Title

* 8. The facilitators were responsive to participants.

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
Carmin Powell MD
Cristina Gamboa MD

Question Title

* 9. The course content:

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
Was appropriate for intended audience.
Was consistent with stated objectives.
Offered opportunity for experiential or active learning.
Was relevant to my profession.
Was current and accurate.
Was delivered clearly.
Included useful instructional materials.

Question Title

* 10. Overall, I was satisfied with:

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
My educational experience.
The virtual method of instructional delivery.
The degree to which I learned something useful.

Question Title

* 11. Was the information/material presented at this CME/CEU activity free from commercial bias?

Question Title

* 12. Ideas for future CME/CEUs:

Question Title

* 13. How did you hear about this CME/CEU activity?

Question Title

* 14. Additional comments:

Question Title

* 15. **If you are a SUD counselor seeking CEUs, please check the Knowledge Gain Assessment box. If you are not, select N/A and you will directed to submit your evaluation.

T