CSIM Evaluation Form - Concurrent Workshop - W15
Your feedback is invaluable and will help us improve the meeting and plan future educational activities.

Friday, November 3, 2017
0915-1145

W15. Internal Medicine Aspects as they Relate to Preparation of the Bariatric Surgery Patient
Dr. Steve Glazer




To thank you for completing these evaluation forms, we will hold a daily draw for a $25 Starbucks gift card. If you wish to enter, please indicate your name and email address. Winners will be announced on-site at the meeting and on social media.

Participation is optional; if you do not wish to participate, leave the following two fields blank.

One entry per session evaluated. Contact information will only be used for draw purposes. Survey responses are anonymous.


Your Name

Question Title

* 1. Your Name

Your Email Address

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* 2. Your Email Address



Please rate this session as follows

Question Title

* 3. Please rate this session as follows

  Poor Fair Satisfactory Good Excellent
Scientific content of this presentation
Usefulness/practicality of this presentation
Adequate time for questions/discussion
Speaker effectiveness
Session objectives were met

Question Title

* 4. Session objectives were met

  Not at all Partially Mostly Completely
Identify patients who are suitable candidates for gastric bypass surgery
Perform an appropriate perioperative assessment of patients undergoing gastric bypass surgery
Provide pre-operative medical counselling and treatment to patients to reduce their risk of complications from gastric bypass surgery
Bias and Balance

Question Title

* 5. Bias and Balance

  Yes No Unsure
The content of this presentation was scientifically valid and balanced
This session WAS FREE from indicators of undue industry bias
This session WAS FREE from indicators of undue personal/other bias
Outcomes: As a result of attending this session, are you planning to

Question Title

* 6. Outcomes: As a result of attending this session, are you planning to

  Yes No Maybe
Discuss the session with your colleagues
Pursue additional learning activities
Complete a Personal Learning Project (PLP)
General Comments

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* 7. General Comments

Topic suggestions for future conferences (please be as specific as possible)

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* 8. Topic suggestions for future conferences (please be as specific as possible)

Feedback

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* 9. Feedback

An evaluation form for general conference feedback is available on the CSIM website and will also be emailed to you after the conference.

Thank you for your feedback.

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