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

Profession

Agreement

By completing this form, you attest that you have attended the activity in its entirety.

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 competence or performance?

Yes

No

If yes, how...

If no, please explain...

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

Were the following objectives met?

Identify previously unrecognized inequities in patient supportive services.

Yes

No

I don't know

Were the following objectives met?

Develop community-based strategies to increase sustainable approaches to health equity.

Yes

No

I don't know

Were the following objectives met?

Identify, recognize, and solve for issues that lead to unequal pain management, and develop more objective approaches to pain management.

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