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

Profession

What activities did you attend at the event?

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (1)

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (2)

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (3)

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (4)

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (5)

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (6)

If you claimed SAM credit for this session(s), skip to next session. If you need CME only credit for this session, select course below. (7)

Agreement

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

I agree

Was the educational content of value to you?

Yes

No

Were the posttest questions adequate for assessing your learning?

If no, please explain...

Was the educational content scientifically sound?

Yes

No

If yes, what...

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

Yes

No

If yes, how...

Did this activity improve your competence or performance?

Yes

No

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

What did you learn that will help you in your practice?

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?