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Sleep Disorders in Older Adults
Program Evaluation
We appreciate your participation in this continuing education activity. Your responses to our survey w
ill allow us to improve our program offerings and services.
T
hank you for your time!
*
How would you rate this educational activity overall?
(Required.)
Poor
1
2
3
4
Excellent
5
Overall Rating
Poor
1
2
3
4
Excellent
5
*
Did you find that the activity was balanced, promoted improvements and/or quality in healthcare/public health, and was not unduly biased toward a specific commercial interest?
(Required.)
Yes
No
If no, please explain:
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How will information that you received during this activity impact your practice behavior?
Please list 1-3 changed that you will make.
(Required.)
*
Besides time and/or money, what barriers do you anticipate encountering as you make changes in your practice?
(Required.)
*
How well were the overall learning objectives of this activity met?
After attending this activity, I feel that I am better able to:
(Required.)
Strongly Disagree
1
2
3
4
Strongly Agree
5
Describe the epidemiology of sleep disturbances
Strongly Disagree
1
2
3
4
Strongly Agree
5
Discuss mechanisms that underlie sleep disturbances
Strongly Disagree
1
2
3
4
Strongly Agree
5
Review management of sleep disturbances, including hypnotic use
Strongly Disagree
1
2
3
4
Strongly Agree
5
How would you rate the presenters overall
(knowledge, organization, effectiveness, etc)
?
Poor
1
2
3
4
Excellent
5
Julio Defillo Draiby, MD
Poor
1
2
3
4
Excellent
5
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How much did you learn as result of this activity?
(Required.)
Very Little
1
2
3
4
Great Deal
5
Select one:
Very Little
1
2
3
4
Great Deal
5
*
Which of the following core competency areas do you feel have been improved as a result of this activity?
Check all that apply
(Required.)
Patient Care
Professionalism
Practice Based Learning
Medical Knowledge
System Base Practice
Communication Skills
*
What is the most important thing you learned by attending this activity and how will it affect you and your practice?
(Required.)
Please share any additional comments and suggestions. Your feedback is extremely valuable to us.
*
Please indicate what type of CE credit you are requesting:
(Required.)
Nursing
Social Work
Certificate of Attendance
Please list your information below so we may send you a Certificate:
Name and Credentials
Company
State
Email Address
