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

Profession

Agreement

By completing this form, you attest that you have attended the activity in its entirety.

I agree

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

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):

Objective 1: Assess the importance and progress of Inter-professional Education as it applies to health sciences

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

Please answer the following:

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

Was the mode of education effective for learning?

Was the educational content scientifically sound?

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

If you answered "No" to any of the above questions, pleaser explain:

It is essential to accrediting boards that presentations be free of any commercial bias. 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, it is important you identify exactly who within which educational environment may have exhibited bias or which salesperson approached you within an educational meeting space. Please give us as much detail as you can below:

How much did you learn as a result of this education program?

What specifically did you learn during this activity that you intend to integrate into your role as an educator?

What questions have arisen in your role as an educator for which you need answers/strategies that you can implement?

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

What problems are your students/institution communicating to you that need attention or follow-up?

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

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

What professional health educational topics do you suggest we present in future webinars?

Additional comments: