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AVAHO - 5.6.23 Regional Meeting
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How would you like your name to appear on your certificate?



What activities did you attend at the event?
Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
PHARMACIST/TECHNICIANS: Provide your NABP ID AND your DATE OF BIRTH, this is required to upload your credits 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: 
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV/technology.
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 in detail (e.g. session title, speaker name, situation):
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did this program improve your Skill or Strategy in your role or contribution as a member of the healthcare team?
I will be able to use the information presented to enhance the care I provide.
I will be able to use the information presented to enhance the care I provide.

I will be able to use the information presented to enhance the care I provide.

I will be able to use the information presented to enhance the care I provide.

I will be able to use the information presented to enhance the care I provide.

If no, why not?
The instructor’s presenting style was conducive to my learning.
The instructor’s presenting style was conducive to my learning.

The instructor’s presenting style was conducive to my learning.

The instructor’s presenting style was conducive to my learning.

The instructor’s presenting style was conducive to my learning.

Do you believe your participation in this activity will positively impact your healthcare team?
The instructor clarified content as appropriate, based on questions from the audience.
The instructor clarified content as appropriate, based on questions from the audience.

The instructor clarified content as appropriate, based on questions from the audience.

The instructor clarified content as appropriate, based on questions from the audience.

The instructor clarified content as appropriate, based on questions from the audience.

If yes, please explain
The slides enhanced my learning.
The slides enhanced my learning.

The slides enhanced my learning.

The slides enhanced my learning.
The slides enhanced my learning.
Please tell us about any objective you feel we accomplished well or poorly.
The slides portrayed the content clearly.
The slides portrayed the content clearly.

The slides portrayed the content clearly.

The slides portrayed the content clearly.

The slides portrayed the content clearly.

Please answer the following:
Was the educational content scientifically sound?
If no , why?.
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):
This presentation was consistent with the session’s learning objectives.
This presentation was consistent with the session’s learning objectives.

This presentation was consistent with the session’s learning objectives.

This presentation was consistent with the session’s learning objectives.

This presentation was consistent with the session’s learning objectives.

Given the topic, I was willing to incur the transportation and/or lodging costs related to attending this symposia.
The costs incurred for attending this symposia were a significant hardship for me.
The location for the symposia was convenient for me to attend.
Where are you from?
How did you travel to this event?
As we plan additional regional meetings, we value your input. Please add any additional comments below.
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