Course Evaluation

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* 1. AVAHO 2018 Annual Meeting

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* 2. Demographic Information

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* 3. Rush Employee Number (If Applicable)

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* 4. Type of Credit Requested

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* 5. If you are requesting pharmacy credit, please indicate your date of birth and NABP number below.

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* 6. Number of Credits you are claiming. Max 19.00

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* 7. Please respond "yes" or "no" to the following statements.

  Yes No
The provider of this activity disclosed verbally or in writing the absence or presence of potential conflicts of interest on the part of planners and presenters.
The content of this activity was presented without bias toward any commercial product.

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* 8. For each statement below, please rate the level of achievement of this activity.

  Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree
The Facilitator(s)/Presenter(s) demonstrated content expertise.
This activity met my expectations based on the stated goals and objectives.
The teaching method(s) used were effective for learning.
The knowledge and/or skills I have acquired from this activity are directly applicable to my professional practice.
I intend to apply the knowledge and/or skills I have acquired from this activity to my practice/area of work.
I have a strategy/strategies to make change(s) in my professional practice based the knowledge and/or skills I have acquired from this activity.

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* 9. Based on the content of this activity, I intend to change my practice by

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* 10. My ability to change my practice based on what I've learned in this activity will likely be limited by

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* 11. Additional Comments

T