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AAGP A Busy Year in Geriatric Mental Health Advocacy
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
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?
The program was up-to-date and relevant to my professional practice.
Were the following objectives met?
Participants will be able to identify key current issues in aging and mental health policy.
Were the following objectives met?
Participants will be able to identify key resources for keeping up to date on advocacy and legislative activities related to mental health and aging policy.
Were the following objectives met?
Participants will become familiar with the variety of ways one can engage in advocacy at the local, state, and national levels.
Were the following objectives met?
Participants will become familiar with the benefits of the health and Aging Policy Fellowship.
PHARMACISTS: 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: 
Rate the following for all instructors
The instructor(s) was knowledgeable about the content.
Rate the following for all instructors
The instructor(s) presented the subject matter clearly.
Rate the following for all instructors
The instructor(s) was responsive.
Rate the following for all instructors
Instructor(s) used technology, handouts, 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?
Were questions, concerns and accommodations were addressed efficiently and in a timely manner?
Additional comments, questions or concerns.
How did you attend this course? 
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