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 54321 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 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 As a result of attending this conference, to what extent do you agree that you will be better able to: (rate the objectives) * Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable 54321N/A How satisfied or dissatisfied were you with the following conference content? * Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied 54321 Lecture materials. Lecture materials. - 5 Lecture materials. - 4 Lecture materials. - 3 Lecture materials. - 2 Lecture materials. - 1 Speaker's effectiveness in addressing the learning objectives. Speaker's effectiveness in addressing the learning objectives. - 5 Speaker's effectiveness in addressing the learning objectives. - 4 Speaker's effectiveness in addressing the learning objectives. - 3 Speaker's effectiveness in addressing the learning objectives. - 2 Speaker's effectiveness in addressing the learning objectives. - 1 Rate the following * Scoring Key: 5=Great Deal 4= A Good Bit 3=Some 2=Little 1=Very Little 54321 How much did you learn as a result of this CE program? How much did you learn as a result of this CE program? - 5 How much did you learn as a result of this CE program? - 4 How much did you learn as a result of this CE program? - 3 How much did you learn as a result of this CE program? - 2 How much did you learn as a result of this CE program? - 1 Rate the following * Scoring Key: 5=Extremely useful 4= A Good Deal Useful 3=Somewhat Useful 2=A Little Useful 1=Not Useful 54321 How useful was the content of this CE program for your practice or other professional development? How useful was the content of this CE program for your practice or other professional development? - 5 How useful was the content of this CE program for your practice or other professional development? - 4 How useful was the content of this CE program for your practice or other professional development? - 3 How useful was the content of this CE program for your practice or other professional development? - 2 How useful was the content of this CE program for your practice or other professional development? - 1 The Instructor(s) * Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree 12345 Knew the subject matter Knew the subject matter - 1 Knew the subject matter - 2 Knew the subject matter - 3 Knew the subject matter - 4 Knew the subject matter - 5 Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies) Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies) - 1 Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies) - 2 Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies) - 3 Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies) - 4 Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies) - 5 Elaborated upon the stated objectives Elaborated upon the stated objectives - 1 Elaborated upon the stated objectives - 2 Elaborated upon the stated objectives - 3 Elaborated upon the stated objectives - 4 Elaborated upon the stated objectives - 5 Maintained my interest Maintained my interest - 1 Maintained my interest - 2 Maintained my interest - 3 Maintained my interest - 4 Maintained my interest - 5 Answered questions effectively Answered questions effectively - 1 Answered questions effectively - 2 Answered questions effectively - 3 Answered questions effectively - 4 Answered questions effectively - 5 Was this course fair, balanced and without commercial bias? * Yes No If you checked "No,” please explain why: * 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? Please provide any additional comments or suggestions. Please select one: * M.D., D.O. Ph.D/Psy.D APRN/PA-C R.N. Social Worker Mental Health Counselor Other... Please select one: Other... Leave this field blank
