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

Profession

What activities did you attend at the event?

Tuesday, May 23rd 2023, 6:00pm - 6:15pm

Tuesday, May 23rd 2023, 6:15pm - 6:45pm

Tuesday, May 23rd 2023, 6:45pm - 7:15pm

Tuesday, May 23rd 2023, 7:15pm - 8:00pm

Agreement

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

I agree

(CPE Monitor) NABP e-Profile ID (ePID) - Example 123456

(CPE Monitor) Date of Birth (MM/DD) - Example September 24 would be 0924:

Was the educational content of value to you?

Very Valuable

Somewhat Valuable

Not at all Valuable

Did you attend the session in its entirety?

Was the educational content scientifically sound?

If no, Tell us how...

Did you perceive any commercial bias or influence in the educational content?

If yes, what...

Did this program improve your Skill or Strategy in your role or contribution as a member of the healthcare team?

If no, why not?

Do you believe your participation in this activity will positively impact your healthcare team?

Yes

No

If yes, how?

If no, why not?

Tell us how well or poorly we met any of the educational objectives

Do you think what you learned will benefit you in your practice?

If yes, how...

Tell us what was good or bad about any part of the educational activity, content, speakers, materials, anything

What questions are you having in your practice that you would like to see addressed in an educational activity?