Exit National MS Society Professional Education Program Evaluation We would appreciate your evaluation of this program, as well as your suggestions for improvements in order to assist in the planning of future programs. Thank you. Question Title * 1. The activity met the stated educational objectives: Strongly agree Agree Neutral Disagree Strongly disagree Question Title * 2. This activity improved my: Strongly Agree Agree Neutral Disagree Strongly Disagree Knowledge of MS care Knowledge of MS care Strongly Agree Knowledge of MS care Agree Knowledge of MS care Neutral Knowledge of MS care Disagree Knowledge of MS care Strongly Disagree Attitude about providing healthcare for people with MS Attitude about providing healthcare for people with MS Strongly Agree Attitude about providing healthcare for people with MS Agree Attitude about providing healthcare for people with MS Neutral Attitude about providing healthcare for people with MS Disagree Attitude about providing healthcare for people with MS Strongly Disagree Skills Skills Strongly Agree Skills Agree Skills Neutral Skills Disagree Skills Strongly Disagree Question Title * 3. Do you plan to change your practice or behavior in any way as a result of participating in this program? Yes No Explain why or why not: Question Title * 4. Please rate the following components: Excellent Very good Fair Poor Unsatisfactory Quality of educational content Quality of educational content Excellent Quality of educational content Very good Quality of educational content Fair Quality of educational content Poor Quality of educational content Unsatisfactory Quality of design and organization Quality of design and organization Excellent Quality of design and organization Very good Quality of design and organization Fair Quality of design and organization Poor Quality of design and organization Unsatisfactory Quality of material distributed Quality of material distributed Excellent Quality of material distributed Very good Quality of material distributed Fair Quality of material distributed Poor Quality of material distributed Unsatisfactory Usefulness Usefulness Excellent Usefulness Very good Usefulness Fair Usefulness Poor Usefulness Unsatisfactory Question Title * 5. How likely is it that you would recommend National MS Society to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 6. What was the most effective aspects(s) of this activity and why? Question Title * 7. What was the least effective aspects(s) of this activity and why? Question Title * 8. Was commercial bias perceived? Yes No If yes, please explain: Question Title * 9. Location & Date of the program: Date of program Was the program in-person or virtual? Name of the program: City & State of program (enter N/A if virtual) Question Title * 10. Select your healthcare discipline: Advanced Practice Provider Community / General Neurologist Fitness & Wellness Professional MS Specialist Neuropsychologist Nurse (other) Occupational Therapist Pharmacist Physical Therapist Physician (other) Psychiatrist Psychologist / Counselor Registered Nurse Rehabilitation Physician Social Work Speech & Language Therapist Urologist Other (please specify) Question Title * 11. Enter the State and ZIP / Postal Code for your healthcare practice. State/Province ZIP/Postal Code Question Title * 12. Please rate the presenter(s) Above average Average Below average Comments Question Title * 13. Please provide contact information to receive the MS Clinical Care Connection e-newsletter for clinical updates and information about MS professional education opportunities. Name Email address Name of healthcare practice Mailing address Question Title * 14. Suggestions for any specific lectures/topics that you would like covered in future activities: Done