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 54321NA 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 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 54321 Review stakeholder feedback on your goals and results to date Review stakeholder feedback on your goals and results to date - 5 Review stakeholder feedback on your goals and results to date - 4 Review stakeholder feedback on your goals and results to date - 3 Review stakeholder feedback on your goals and results to date - 2 Review stakeholder feedback on your goals and results to date - 1 Clarify stakeholder needs and priorities Clarify stakeholder needs and priorities - 5 Clarify stakeholder needs and priorities - 4 Clarify stakeholder needs and priorities - 3 Clarify stakeholder needs and priorities - 2 Clarify stakeholder needs and priorities - 1 Identify conflicting priorities among stakeholders Identify conflicting priorities among stakeholders - 5 Identify conflicting priorities among stakeholders - 4 Identify conflicting priorities among stakeholders - 3 Identify conflicting priorities among stakeholders - 2 Identify conflicting priorities among stakeholders - 1 Stretch your comfort zone by committing to engage a ‘difficult’ stakeholder Stretch your comfort zone by committing to engage a ‘difficult’ stakeholder - 5 Stretch your comfort zone by committing to engage a ‘difficult’ stakeholder - 4 Stretch your comfort zone by committing to engage a ‘difficult’ stakeholder - 3 Stretch your comfort zone by committing to engage a ‘difficult’ stakeholder - 2 Stretch your comfort zone by committing to engage a ‘difficult’ stakeholder - 1 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 ARNP/PA-C R.N. Other... Please select one: Other... Name Leave this field blank
