2026 Hawai'i Addictions Conference Evaluation

The following evaluation is confirming your attendance for the 2026 Hawai'i Addictions Conference on Friday, April 17, 2026. CME, CE, or CEU credits will be provided to individuals who complete this survey and certify how many credits were claimed. Please allow 30 days to receive your certificate. If you need your certificate expedited please email Sarah Burns: sburns@hawaiiresidency.org

Question Title

1. First Name, Last Name, Credentials
(Please write your name exactly as you would like it to appear on your CME certificate) (Required.)

Question Title

2. EMAIL ADDRESS:
(Your CME/CE/CEU certificate will be emailed to this address so please use a functioning email address) (Required.)

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3. Which form of continuing education credits are you claiming? (Required.)

Physician Continuing Medical Education Credits (CME)

CSAC Continuing Education Credits (CE)

Social Work Continuing Education Units (CEU)

Certificate of Attendance (not seeking continuing education credit)

None - providing feedback only

Question Title

* 1. First Name, Last Name, Credentials(Please write your name exactly as you would like it to appear on your CME certificate) (Required.)

Question Title

* 2. EMAIL ADDRESS:(Your CME/CE/CEU certificate will be emailed to this address so please use a functioning email address) (Required.)

Question Title

* 3. Which form of continuing education credits are you claiming? (Required.)

1. First Name, Last Name, Credentials
(Please write your name exactly as you would like it to appear on your CME certificate) (Required.)

2. EMAIL ADDRESS:
(Your CME/CE/CEU certificate will be emailed to this address so please use a functioning email address) (Required.)

3. Which form of continuing education credits are you claiming? (Required.)