1.Name

2.Email

3.Please indicate your agreement with the following statements

Strongly Disagree

Somewhat Disagree

Neutral

Somewhat Agree

Strongly Agree

The case series are relevant to my professional practice

Strongly Disagree

Somewhat Disagree

Neutral

Somewhat Agree

Strongly Agree

The case series met the stated learning objectives

Strongly Disagree

Somewhat Disagree

Neutral

Somewhat Agree

Strongly Agree

The case series met my expectations

Strongly Disagree

Somewhat Disagree

Neutral

Somewhat Agree

Strongly Agree

4.The course was balanced and free from commercial or other inappropriate bias

Yes

No

5.Which CanMEDS roles did you feel were addressed during this educational activity?

Medical Expert

Communicator

Collaborator

Professional

Scholar

Leader

Health Advocate

Other (please specify)

6.Identify one thing you learned from this educational activity that you will apply in your practice.

7.Please include any other feedback or comments.