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=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice 543210 The information and/or skills learned will enhance my professional competence or ability. The information and/or skills learned will enhance my professional competence or ability. - 5 The information and/or skills learned will enhance my professional competence or ability. - 4 The information and/or skills learned will enhance my professional competence or ability. - 3 The information and/or skills learned will enhance my professional competence or ability. - 2 The information and/or skills learned will enhance my professional competence or ability. - 1 The information and/or skills learned will enhance my professional competence or ability. - 0 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 5 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 4 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 3 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 2 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 1 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 0 Was this course fair, balanced and without commercial bias? * Yes No If you checked "No,” please explain why: * How many patients will you see in your practice who will likely be impacted by what you learned at this activity? * 1-5 6-10 Over 10 Not applicable to my practice As a result of what was discussed at these activities what do you intend to do differently? Identify at least two learning points that could be incorporated into your practice * If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. * Comments Please select one: * M.D. Ph.D. Psy.D. DMD PA-C ARNP R.N. Pharmacist Respiratory Therapist Other... Please select one: Other... Name Leave this field blank
