(CPE Monitor) Date of Birth - Month: Please select the number that represents the Month in which you were born (example: March is 03):
(CPE Monitor) Date of Birth - Day. Please enter the day of the month on which you were born. If you were born on the 9th, please enter '09' below:
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 knowledge, strategies/skills, performance and/or patient outcomes?
Additional comments: