Head and Neck 2017 Evaluation Question Title * 1. How did you hear about this conference? Colleague Website E-mail Facebook Twitter Other (please specify) Question Title * 2. Please indicate how the information you learned - a) was or will be applied to your practice, or b) achieved the desired result. Differential diagnosis Change in treatment or patient care management Change in medication administration and/or management Decision-making for consultation or referral Update current understanding or improve knowledge Understand and apply most current standard of care Performance Improvement (PI) Protocol development or guideline implementation Reduce costs or improve efficiency Improve patient education Knowledge base in preparation for a presentation Reduce length of stay Other (please specify) Question Title * 3. Was potential faculty conflict-of-interest (disclosure) conveyed to the audience prior to the activity? Yes No Question Title * 4. Did you perceive any conflict of interest in the presentations? If so, what? No Yes (please specify): Question Title * 5. Please evaluate whether or not the presenters did the following: Yes No Related content to relevant medical practice? Related content to relevant medical practice? Yes Related content to relevant medical practice? No Stimulated my desire to learn? Stimulated my desire to learn? Yes Stimulated my desire to learn? No Held my attention? Held my attention? Yes Held my attention? No Used AV in a helpful manner? Used AV in a helpful manner? Yes Used AV in a helpful manner? No Question Title * 6. In what ways could the presenters improve? Question Title * 7. Were there technical difficulties? No Yes ----> Question Title * 8. If yes, did they affect your ability to do the following?: Yes No See See Yes See No Hear Hear Yes Hear No Learn Learn Yes Learn No Question Title * 9. Comments & Suggestion for future activities: Question Title * 10. Please provide your name and contact information, so that we may contact you if we have any questions regarding your responses. (This information is not required) Name: Title: Email Address: Specialty: Done
