2026 Palliative Care and Hospice Symposium Evaluation

Please select one: *

I am in active clinical practice

I am retired

I am a student

Other

Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement. *

Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	NA
The skills learned in this CME course enhanced my professional competence.	The skills learned in this CME course enhanced my professional competence. - 5	The skills learned in this CME course enhanced my professional competence. - 4	The skills learned in this CME course enhanced my professional competence. - 3	The skills learned in this CME course enhanced my professional competence. - 2	The skills learned in this CME course enhanced my professional competence. - 1	The skills learned in this CME course enhanced my professional competence. - NA
The skills learned in this CME course will be applied in the treatment of my patients.	The skills learned in this CME course will be applied in the treatment of my patients. - 5	The skills learned in this CME course will be applied in the treatment of my patients. - 4	The skills learned in this CME course will be applied in the treatment of my patients. - 3	The skills learned in this CME course will be applied in the treatment of my patients. - 2	The skills learned in this CME course will be applied in the treatment of my patients. - 1	The skills learned in this CME course will be applied in the treatment of my patients. - NA

How confident are you in your ability to: *

5 = High level of confidence 4 = Moderately high level of confidence 3 = Average level of confidence 2 = Low level of confidence 1 = No level of confidence NA|Not applicable to my practice

	5	4	3	2	1
Apply evidence-based pharmacologic and non-pharmacologic strategies to manage symptoms across the palliative care continuum	Apply evidence-based pharmacologic and non-pharmacologic strategies to manage symptoms across the palliative care continuum - 5	Apply evidence-based pharmacologic and non-pharmacologic strategies to manage symptoms across the palliative care continuum - 4	Apply evidence-based pharmacologic and non-pharmacologic strategies to manage symptoms across the palliative care continuum - 3	Apply evidence-based pharmacologic and non-pharmacologic strategies to manage symptoms across the palliative care continuum - 2	Apply evidence-based pharmacologic and non-pharmacologic strategies to manage symptoms across the palliative care continuum - 1
Provide culturally sensitive, holistic care that meets the physical, emotional, spiritual and social needs of patients and families	Provide culturally sensitive, holistic care that meets the physical, emotional, spiritual and social needs of patients and families - 5	Provide culturally sensitive, holistic care that meets the physical, emotional, spiritual and social needs of patients and families - 4	Provide culturally sensitive, holistic care that meets the physical, emotional, spiritual and social needs of patients and families - 3	Provide culturally sensitive, holistic care that meets the physical, emotional, spiritual and social needs of patients and families - 2	Provide culturally sensitive, holistic care that meets the physical, emotional, spiritual and social needs of patients and families - 1
Communicate effectively and compassionately with patients, families and interdisciplinary team members during serious illness and end-of-life conversations	Communicate effectively and compassionately with patients, families and interdisciplinary team members during serious illness and end-of-life conversations - 5	Communicate effectively and compassionately with patients, families and interdisciplinary team members during serious illness and end-of-life conversations - 4	Communicate effectively and compassionately with patients, families and interdisciplinary team members during serious illness and end-of-life conversations - 3	Communicate effectively and compassionately with patients, families and interdisciplinary team members during serious illness and end-of-life conversations - 2	Communicate effectively and compassionately with patients, families and interdisciplinary team members during serious illness and end-of-life conversations - 1
Collaborate with the healthcare team to develop individualized, patient- and family-centered care plans that reflect patient goals, values and stage of illness	Collaborate with the healthcare team to develop individualized, patient- and family-centered care plans that reflect patient goals, values and stage of illness - 5	Collaborate with the healthcare team to develop individualized, patient- and family-centered care plans that reflect patient goals, values and stage of illness - 4	Collaborate with the healthcare team to develop individualized, patient- and family-centered care plans that reflect patient goals, values and stage of illness - 3	Collaborate with the healthcare team to develop individualized, patient- and family-centered care plans that reflect patient goals, values and stage of illness - 2	Collaborate with the healthcare team to develop individualized, patient- and family-centered care plans that reflect patient goals, values and stage of illness - 1

How satisfied or dissatisfied were you with the Speaker's effectiveness in addressing the learning objectives? *

Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied

	5	4	3	2	1
Synergy of Palliative Care Principles into Practice - Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN	Synergy of Palliative Care Principles into Practice - Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN - 5	Synergy of Palliative Care Principles into Practice - Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN - 4	Synergy of Palliative Care Principles into Practice - Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN - 3	Synergy of Palliative Care Principles into Practice - Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN - 2	Synergy of Palliative Care Principles into Practice - Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN - 1
Worldviews and Religious Sensitivity in End-of-Life Care - Rev. Guillermo Escalona, M.Div.	Worldviews and Religious Sensitivity in End-of-Life Care - Rev. Guillermo Escalona, M.Div. - 5	Worldviews and Religious Sensitivity in End-of-Life Care - Rev. Guillermo Escalona, M.Div. - 4	Worldviews and Religious Sensitivity in End-of-Life Care - Rev. Guillermo Escalona, M.Div. - 3	Worldviews and Religious Sensitivity in End-of-Life Care - Rev. Guillermo Escalona, M.Div. - 2	Worldviews and Religious Sensitivity in End-of-Life Care - Rev. Guillermo Escalona, M.Div. - 1
The Art and Science of Prognostication - Sheena M. Zapata, M.D.	The Art and Science of Prognostication - Sheena M. Zapata, M.D. - 5	The Art and Science of Prognostication - Sheena M. Zapata, M.D. - 4	The Art and Science of Prognostication - Sheena M. Zapata, M.D. - 3	The Art and Science of Prognostication - Sheena M. Zapata, M.D. - 2	The Art and Science of Prognostication - Sheena M. Zapata, M.D. - 1
Strengthening Communication Across Teams and Palliative Care: Communication Effectively with Clinicians, Leadership and Systems - David Buxton, M.D., FAPA, DFAACAP, FAAHPM	Strengthening Communication Across Teams and Palliative Care: Communication Effectively with Clinicians, Leadership and Systems - David Buxton, M.D., FAPA, DFAACAP, FAAHPM - 5	Strengthening Communication Across Teams and Palliative Care: Communication Effectively with Clinicians, Leadership and Systems - David Buxton, M.D., FAPA, DFAACAP, FAAHPM - 4	Strengthening Communication Across Teams and Palliative Care: Communication Effectively with Clinicians, Leadership and Systems - David Buxton, M.D., FAPA, DFAACAP, FAAHPM - 3	Strengthening Communication Across Teams and Palliative Care: Communication Effectively with Clinicians, Leadership and Systems - David Buxton, M.D., FAPA, DFAACAP, FAAHPM - 2	Strengthening Communication Across Teams and Palliative Care: Communication Effectively with Clinicians, Leadership and Systems - David Buxton, M.D., FAPA, DFAACAP, FAAHPM - 1
Primary Palliative Care Communications - How to Close the Gap - Rab Razzak, M.D., FAAHPM	Primary Palliative Care Communications - How to Close the Gap - Rab Razzak, M.D., FAAHPM - 5	Primary Palliative Care Communications - How to Close the Gap - Rab Razzak, M.D., FAAHPM - 4	Primary Palliative Care Communications - How to Close the Gap - Rab Razzak, M.D., FAAHPM - 3	Primary Palliative Care Communications - How to Close the Gap - Rab Razzak, M.D., FAAHPM - 2	Primary Palliative Care Communications - How to Close the Gap - Rab Razzak, M.D., FAAHPM - 1
The Plot Thickens: Reconsidering Thickened Liquids at End-of-Life - Janet Levy, MA, CCC-SLP	The Plot Thickens: Reconsidering Thickened Liquids at End-of-Life - Janet Levy, MA, CCC-SLP - 5	The Plot Thickens: Reconsidering Thickened Liquids at End-of-Life - Janet Levy, MA, CCC-SLP - 4	The Plot Thickens: Reconsidering Thickened Liquids at End-of-Life - Janet Levy, MA, CCC-SLP - 3	The Plot Thickens: Reconsidering Thickened Liquids at End-of-Life - Janet Levy, MA, CCC-SLP - 2	The Plot Thickens: Reconsidering Thickened Liquids at End-of-Life - Janet Levy, MA, CCC-SLP - 1
The Role of the Social Worker in Promoting Patient and Family Centered Care - Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C	The Role of the Social Worker in Promoting Patient and Family Centered Care - Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C - 5	The Role of the Social Worker in Promoting Patient and Family Centered Care - Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C - 4	The Role of the Social Worker in Promoting Patient and Family Centered Care - Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C - 3	The Role of the Social Worker in Promoting Patient and Family Centered Care - Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C - 2	The Role of the Social Worker in Promoting Patient and Family Centered Care - Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C - 1
Dosing Compassion: Medication Management Across the Palliative Care Spectrum - Michelle Krichbaum, PharmD, BCPP	Dosing Compassion: Medication Management Across the Palliative Care Spectrum - Michelle Krichbaum, PharmD, BCPP - 5	Dosing Compassion: Medication Management Across the Palliative Care Spectrum - Michelle Krichbaum, PharmD, BCPP - 4	Dosing Compassion: Medication Management Across the Palliative Care Spectrum - Michelle Krichbaum, PharmD, BCPP - 3	Dosing Compassion: Medication Management Across the Palliative Care Spectrum - Michelle Krichbaum, PharmD, BCPP - 2	Dosing Compassion: Medication Management Across the Palliative Care Spectrum - Michelle Krichbaum, PharmD, BCPP - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

As a result of my participation in this Symposium, I commit to make the following changes to my clinical practice: *

I will incorporate evidence-based pharmacologic and non-pharmacologic strategies to improve symptom management and support patient needs.

I will integrate culturally sensitive, holistic approaches to address the physical, emotional, spiritual and social needs of patients and families.

I will implement effective and empathetic communication strategies during serious illness and end-of-life conversations with patients, families and colleagues.

I will collaborate more proactively with interdisciplinary team members to develop individualized, patient- and family-centered care plans that align with patient goals and values.

Not applicable to my practice.

I am retired.

I have not implemented any strategies.

How many patients will you see in your practice who will likely be impacted by what you learned at this activity? *

What, if any, new skills/strategies will you apply in your clinical practice? *

If you do not plan to implement any new skills/strategies in your clinical practice, what is keeping you from doing so? *

Which aspect of the symposium did you find most valuable? *

Keynote presentations

Q&A and Insight Exchange discussions

Networking opportunities

Exhibitors and educational resources

Other...

Which aspect of the symposium did you find most valuable? Other...

Thinking about future Palliative Care and Hospice educational activities, what would you like to see more of or less of, and why?

Which presentation(s) had the greatest impact on you, and why?

Please provide any additional comments or suggestions.

Name

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2026 Palliative Care and Hospice Symposium Evaluation