Amedcologo
AMEDCOZ New Sample Event
Mr pencil

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



How many credit hours did you complete?
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
Please rate your satisfaction with the content and quality of the program: 
Was the educational content scientifically sound?
If no, please explain...
Did you perceive any commercial bias or influence in the educational content?
If yes, what...
Did this program improve your competence or performance? 
If yes, how...
If no, please explain...
What did you learn that will help you in your practice?
Were the following objectives met?
Objective 1: 
Were the following objectives met?
Objective 2: 
Were the following objectives met?
Objective 3: 
Were the following objectives met?
This is the first objective
Were the following objectives met?
Second objective
Were the following objectives met?
third objective
The program was up-to-date and relevant to my professional practice 
Additional comments
Was the location suitable?
The facilities were conducive to learning
Rate the following for all instructors
Instructor was knowledgeable about the content
Rate the following for all instructors
Instructor presented the subject matter clearly
Rate the following for all instructors
Instructor was responsive 
Rate the following for all instructors
Instructor used technology, hand outs and other learning aids effectively
Additional questions about the instructor(s)
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
Mr question