CSIM Evaluation Form - Opening Plenary

Your feedback is invaluable and will help us improve the meeting and plan future educational activities.


Wednesday, November 1, 2017
Opening Plenary - 1700 - 1800

Dr. David Juurlink- The North American Opioid Crisis 



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.


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* 1. Your Name

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* 2. Your Email Address



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* 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

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* 4. Session objectives were met

  Not at all Partially Mostly Completely
Describe the genesis, evolution and scope of the North American opioid crisis
Review the benefits and harms of opioids when prescribed for chronic pain
Outline the measures required to address the opioid crisis as it now exists      

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* 5. 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)

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* 6. 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

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* 7. General Comments

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

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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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