CSIM Evaluation - Research/QI Workshop & Networking Session Survey

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

Thursday, November 2, 2017
Research/QI Workshop - 0900-1130

Part 1 - 0900-1000
Objectives:
·     Share ideas in development in research or QI
·     Understand how internists can lead research or QI
·     Gain and share feedback from peers on new initiatives

Part 2 - 1030-1130
Dr. Christine Soong and Dr. Adina Weinerman
Objectives:
·     Foster networks within the GIM research community
·     Form national GIM collaborations within the research/QI/Choosing Wisely community
·     Network, share ideas, and discuss opportunities for collaboration in Choosing Wisely activities

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.

1.Your Name

2.Your Email Address

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

6.Bias and Balance

If you feel there were indicators of bias, please describe:
(Note: Bias is defined as "a personal judgment in favor of a specific proprietary business interest or a commercial interest.")

7.General Comments

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

9.Feedback

Check here if you would like someone to contact you about your feedback.

If yes, please provide your email address

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.