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

Profession

How many credit hours did you complete?

Credit Hours (maximum: 3.0)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Was the review of educational value to you?

Very Valuable

Somewhat Valuable

Not at all Valuable

Were the manuscript contents scientifically sound?

Yes

No

If no, Tell us how...

Did you perceive any commercial bias or influence in the manuscript?

Yes

No

If yes, what...

Do you feel after your review you have improve your Skill or Strategy in your role or contribution as a member of the healthcare team?

Yes

No

If no, why not?

Do you believe your participation will positively impact your healthcare team?

Yes

No

If yes, tell us how... Or if no, tell us why not...

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

Yes

No

If yes, how...

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

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

How can this review be improved to better impact knowledge, strategies/skills, performance and/or patient outcomes?

Tell us what was good or bad about any part of this activity: content, authors, materials, anything at all.