1 Start 2 Complete

This Continuing Education Activity *

Overall Rating of this Continuing Education Activity

	Strongly Agree	Agree	Disagree	Strongly Disagree
Contributed to my professional growth.	Contributed to my professional growth. - Strongly Agree	Contributed to my professional growth. - Agree	Contributed to my professional growth. - Disagree	Contributed to my professional growth. - Strongly Disagree
Improved my knowledge, attitudes, and skills to better deliver patient care.	Improved my knowledge, attitudes, and skills to better deliver patient care. - Strongly Agree	Improved my knowledge, attitudes, and skills to better deliver patient care. - Agree	Improved my knowledge, attitudes, and skills to better deliver patient care. - Disagree	Improved my knowledge, attitudes, and skills to better deliver patient care. - Strongly Disagree
Met the stated learning objectives.	Met the stated learning objectives. - Strongly Agree	Met the stated learning objectives. - Agree	Met the stated learning objectives. - Disagree	Met the stated learning objectives. - Strongly Disagree
Promoted active learning (discussions, problem solving, case studies, simulation, reflective exercise, etc.).	Promoted active learning (discussions, problem solving, case studies, simulation, reflective exercise, etc.). - Strongly Agree	Promoted active learning (discussions, problem solving, case studies, simulation, reflective exercise, etc.). - Agree	Promoted active learning (discussions, problem solving, case studies, simulation, reflective exercise, etc.). - Disagree	Promoted active learning (discussions, problem solving, case studies, simulation, reflective exercise, etc.). - Strongly Disagree

After attending the educational activity, please share what you learned that was meaningful and/or what changes you intend to implement to your practice. *

The speaker(s) were effective in delivering the educational content. *

Strongly Agree

Agree

Disagree

Strongly Disagree

Not Applicable – self-paced module with no live or recorded speakers

The educational materials (such as visual aids, handouts, case studies, reference materials, etc.) will help me sustain improvements in skills/strategies, performance, and/or patient outcomes. *

Strongly Agree

Agree

Disagree

Strongly Disagree

Did you detect any conflict of interest, bias, commercial support, or product endorsement? *

Yes

No

Please Explain. *

What worked well about this continuing education activity?

Please share any comments about how we can improve this continuing education activity or future sessions.

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