1. Course C1 – Program Evaluation

Your feedback is critical to program planning and future course development; please take a few minutes to complete this evaluation form.

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* 1. Please type your first and last name below. To obtain CME, you must fill out an evaluation for each educational event attended. Filling in this field below will ensure you receive credit for completing this evaluation. Evaluations remain confidential and anonymous - The field is randomized and deleted when CME is claimed.

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* 2. Please select the choice that best describes your answer.

  Strongly Agree Agree Neutral Disagree Strongly Disagree Not Applicable
I acquired new knowledge that will help me perform my job duties
I confirmed effectiveness of previous skills
I learned new techniques or skills
I learned new diagnostic strategies
I learned new techniques for patient and family communication
I acquired new skills and competencies not listed above

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* 3. These skills will improve my work performance in the following areas (Check all that apply

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* 4. How likely are you to apply knowledge or skills that you learned here to your practice or academic duties?

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* 5. Please select the choice that best describes your answer.

  Strongly Agree Agree Neutral Disagree Strongly Disagree Not Applicable
The course objectives were met
The faculty presented the material well
There was sufficient opportunity to ask questions
The course was free of industry bias
Overall, the course met my expectations

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* 6. Please select the choice that best describes your answer.

  Almost all About 75% About 50% About 25% Almost none
How much of the content was new to you?

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* 7. Would you recommend this course to your colleagues?

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* 8. Please describe briefly your comments about how the course was delivered and any suggestions for improvement:

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* 9. Please list any courses you’d like to see presented in the future:

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