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

Profession

What activities did you attend at the event?

Wed - 8:30am-10:00am

Wed - 10:30am â€“ 12:00pm

Wed - 1:30pm-3:00pm

Wed - 3:30pm-5:00pm

Wed - Evening

Thu - 7:00am-8:00am

Thu - 8:30am-10:00am

Thu - 10:30am â€“ 12:00pm

Thu - 1:30pm-3:00pm

Thu - 3:30pm-5:00pm

Thu - Evening

Fri - 7:00am-8:00am

Fri - 8:30am-10:00am

Fri - 10:30am â€“ 12:00pm

Fri - 1:30pm-3:00pm

Fri - 3:30pm-5:00pm

Fri - Evening

Agreement

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

I agree

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:

Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.

Having completed the activity, please rate your ability to meet each of the following overall conference objectives:

Describe the spectrum of care included in a holistic approach

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Compare evidence-based approaches to the treatment of addiction, mental health disorders and pain

Identify methods and strategies to maximize billing and reimbursement for holistic treatments

Name at least three useful strategies and the clinical resources needed to implement holistic approaches in the clinical setting

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Please answer the following:

Do you believe this activity was appropriate for the scope of your professional activities?

Was the educational content scientifically sound?

Was the educational content free of commercial bias?

Was the mode of education effective to learning?

If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?

If you answered "No" to any of the above questions, please explain.

Were you solicited by sales personnel in an educational session room (other areas do not matter) while you attended this educational activity?

If you answered "Yes" to the above question, please explain.

What did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?

What problems are your patients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient outcomes?

Additional comments:

Only Florida licensees need to answer this question. Notice to Florida Licensees: In order for us to report your hours to CE Broker, you MUST provide us with your Florida alpha-numeric license number (e.g., PY1234, SS123, MH1234, MT1234). Please be sure you enter this number accurately, or CE Broker will not record your hours.