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

Profession

What activities did you attend at the event?

AASLD/ILTS Transplant Course

Postgraduate Course

Hepatology Associates Course

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

Was the educational content of value to you?

Very Valuable

Average

Not Valuable

I attended this session in its entirety.

Yes

No

I attended this session in its entirety.

Yes

No

I attended this session in its entirety.

Yes

No

Was the educational content scientifically sound?

Yes

No

If no, tell us how...

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

Yes

No

If yes, please explain...

Did this activity improve your Skills or Strategy?

Yes

No

If yes, how...

Tell us how well or poorly we met any of the educational objectives

Do you think what you learned will benefit you in your practice?

If yes, how...

PHARMACIST: If you do not provide your NABP ID AND your DATE OF BIRTH, your hours will not be uploaded to CPE Monitor.

(CPE Monitor) NABP e-Profile ID (ePID) - Example 123456:

(CPE Monitor) Date of Birth (MM/DD) - Example September 24 would be 0924:

Tell us what was good or bad about any part of the educational activity, content, speakers, materials, anything

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

Additional Comments: