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

Profession

What activities did you attend at the event?

Saturday, September 7, 2019 - 7:30 am - 9:00 am

Saturday, September 7, 2019 - 10:30 am - 11:30 am

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?

Very Valuable

Average

Waste of time

Did you attend the session in its entirety?

Was the educational content scientifically sound?Â

Yes

No

If no, please explain...

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

If yes, please explain...

Did this activity improve your Skills or Strategy?

Yes

No

If yes, how...

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?

Yes

No

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?

In order to get MOC Credit through ABA, we need the following:

Your ABA ID#

Your month and day of birth

Permission to share your information with ACCME. Do you give your permission?

Yes

No