Please rate the following statements:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The activity met the stated learning objectives.	The activity met the stated learning objectives. - Strongly Agree	The activity met the stated learning objectives. - Agree	The activity met the stated learning objectives. - Neutral	The activity met the stated learning objectives. - Disagree	The activity met the stated learning objectives. - Strongly Disagree
Was the speaker(s) effective?	Was the speaker(s) effective? - Strongly Agree	Was the speaker(s) effective? - Agree	Was the speaker(s) effective? - Neutral	Was the speaker(s) effective? - Disagree	Was the speaker(s) effective? - Strongly Disagree
The activity assisted in closing practice gaps in the topic.	The activity assisted in closing practice gaps in the topic. - Strongly Agree	The activity assisted in closing practice gaps in the topic. - Agree	The activity assisted in closing practice gaps in the topic. - Neutral	The activity assisted in closing practice gaps in the topic. - Disagree	The activity assisted in closing practice gaps in the topic. - Strongly Disagree
I will modify my practice based on this information.	I will modify my practice based on this information. - Strongly Agree	I will modify my practice based on this information. - Agree	I will modify my practice based on this information. - Neutral	I will modify my practice based on this information. - Disagree	I will modify my practice based on this information. - Strongly Disagree
The amount of information covered in this activity was sufficient.	The amount of information covered in this activity was sufficient. - Strongly Agree	The amount of information covered in this activity was sufficient. - Agree	The amount of information covered in this activity was sufficient. - Neutral	The amount of information covered in this activity was sufficient. - Disagree	The amount of information covered in this activity was sufficient. - Strongly Disagree
I am satisfied with the overall quality of this activity.	I am satisfied with the overall quality of this activity. - Strongly Agree	I am satisfied with the overall quality of this activity. - Agree	I am satisfied with the overall quality of this activity. - Neutral	I am satisfied with the overall quality of this activity. - Disagree	I am satisfied with the overall quality of this activity. - Strongly Disagree

Did the activity meet the stated learning objectives?

Yes

No

Was this activity free of commercial bias?

Yes

No

Were the disclosure statements communicated to you?

Yes

No

Which of the following competency areas do you feel have been improved as a result of this activity?

Patient Care

Professionalism

Medical Knowledge

Systems-based Practice

Practice-based Learning

Communication Skills

Identify at least one thing you are going to change in your practice as a result of this activity.

Leave this field blank