CSIM Evaluation Form - Concurrent Workshop - W32
Your feedback is invaluable and will help us improve the meeting and plan future educational activities.

Saturday, November 4, 2017
0945-1215
W32. CMPA: Legalities and Responsibilities Pertaining to Wait Times
Dr. Janet Nuth                     




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

Question Title

* 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
Describe the duty of care of referring physicians and consultants when dealing with wait times
Develop three strategies to improve patient safety with consults and referrals
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

Question Title

* 7. General Comments

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

Question Title

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

Feedback

Question Title

* 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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