Cypress Grand Rounds CE Please complete this survey and fill in your information to receive CE credit for this Grand Rounds. CE Certificate will be sent by email. Please direct questions to skordik@ccems.com. OK Question Title * 1. Your Name OK Question Title * 2. Agency Affiliation OK Question Title * 3. Choose one EMR EMT-B AEMT EMT-P/LP RN Other (please specify) OK Question Title * 4. Texas state License # OK Question Title * 5. National Registry # (if applicable) OK Question Title * 6. Your email address OK Question Title * 7. Please evaluate the program: Poor Below Average Above Average Exceptional How well-organized was the program? How well-organized was the program? Poor How well-organized was the program? Below Average How well-organized was the program? Above Average How well-organized was the program? Exceptional Did the program meet the course objectives? Did the program meet the course objectives? Poor Did the program meet the course objectives? Below Average Did the program meet the course objectives? Above Average Did the program meet the course objectives? Exceptional Was the program helpful for you? Was the program helpful for you? Poor Was the program helpful for you? Below Average Was the program helpful for you? Above Average Was the program helpful for you? Exceptional In general, how appropriate were the audio-visuals? In general, how appropriate were the audio-visuals? Poor In general, how appropriate were the audio-visuals? Below Average In general, how appropriate were the audio-visuals? Above Average In general, how appropriate were the audio-visuals? Exceptional To what extent will the information presented be of value to you? To what extent will the information presented be of value to you? Poor To what extent will the information presented be of value to you? Below Average To what extent will the information presented be of value to you? Above Average To what extent will the information presented be of value to you? Exceptional OK Question Title * 8. What was the most helpful part of the program for you? OK Question Title * 9. What was the least helpful part of the program for you? OK DONE
