How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 3.0)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Please rate your satisfaction with the content and quality of the program.

Was the educational content scientifically sound?

Yes

No

If no, please explain...

Did you perceive any commercial bias or influence in the educational content?

Yes

No

If yes, what...

Did this program improve your Skill or Strategy in your role or contribution as a member of the healthcare team?

Yes

No

If no, why not?

Do you believe your participation in this activity will positively impact your healthcare team?

Yes

No

If yes, how?

If no, why not?

What did you learn that will help you in your practice?

Were the following objectives met?

State the prevalence and correlates of depression, anxiety and insomnia in oncology.

Yes

No

I don't know

Were the following objectives met?

Describe evidence-based skills for improving depression and anxiety through behavioral management of physical symptoms, use of mindfulness to cope with worry and uncertainty, identification of social support needs and practice of effective communication skills, as well as application of activity planning and pacing techniques for changes in functional capacity.

Yes

No

I don't know

Were the following objectives met?

Practice sleep restriction, stimulus control and constructive worry for cancer-related insomnia.

Yes

No

I don't know

The program was up-to-date and relevant to my professional practiceÂ

What questions are you having in your practice that you would like to see addressed in an educational activity?

Questions, concerns and accommodations were addressed efficiently and in a timely manner

Additional comments