SLTBR 31st Annual SLTBR Meeting 2019 - Certificate of Attendance
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Profession
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Physician
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Non-Physician
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
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Was the educational content of value to you?
Very Valuable
Average
Waste of time
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Was the educational content scientifically sound?
Yes
No
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Did you perceive any commercial bias or influence in the educational content?
Yes
No
If yes, please explain...
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Did this activity improve your Skills or Strategy?
Yes
No
If yes, how...
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Please rate the following:
The program was relevant to my work
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Please rate the following:
Content matched stated objectives
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Please rate the following:
Usefulness of handouts/AV
Excellent
Very Good
Good
Fair
Poor
Please rate the following:
Quality of facilities and facility accommodations
Excellent
Very Good
Good
Neutral
Bad
Very Bad
Poor
Please rate the following:
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?Â
Excellent
Very Good
Good
Fair
Poor
If you rated any of the above questions with 'fair", 'poor', 'disagree', or 'strongly disagree', please explain in detail (e.g. session title, speaker name, situation)
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Tell us how well or poorly we met any of the educational objectives
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Do you think what you learned will benefit you in your practice?
If yes, how...
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Tell us what was good or bad about any part of the educational activity, content, speakers, materials, anything
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What questions are you having in your practice that you would like to see addressed in an educational activity?
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Additional questions/feedback
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