SurveyMonkey Powered Online Survey

1. Pharmacology Update for Nurse Practitioners

We are pleased that you participated in one of our HealthTecdl programs. Please take the time to fill out this evaluation survey, so that we can improve future programs.

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* 1. Are you applying for AANP CE credits?

Yes

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* 2. If you indicated an interest in CE credit, please provide the following demographic information

Name:

Mailing Address:

City, State, ZIP:

Email Address:

License Number # (if requesting AANP credit):

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* 3. Considering all of the above factors, my overall satisfaction with this educational activity is _______ percent:

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* 4. Assess the change in your knowledge / skill level of the subject matter. (5 = high, 1 = low)

	5	4	3	2	1
Knowledge / skill level before the course	Knowledge / skill level before the course 5	Knowledge / skill level before the course 4	Knowledge / skill level before the course 3	Knowledge / skill level before the course 2	Knowledge / skill level before the course 1
Knowledge / skill level after the course	Knowledge / skill level after the course 5	Knowledge / skill level after the course 4	Knowledge / skill level after the course 3	Knowledge / skill level after the course 2	Knowledge / skill level after the course 1
Rate your level of mastery of the material	Rate your level of mastery of the material 5	Rate your level of mastery of the material 4	Rate your level of mastery of the material 3	Rate your level of mastery of the material 2	Rate your level of mastery of the material 1