Sleep Center Evaluation- March 8, 2018

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

	5	4	3	2	1	0
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

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders.	Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders. - 5	Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders. - 4	Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders. - 3	Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders. - 2	Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders. - 1	Compare current knowledge of sleep physiology with sleep concepts of the past to improve the practitioner’s acumen for diagnosing and treating common sleep disorders. - 0
Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients.	Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients. - 5	Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients. - 4	Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients. - 3	Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients. - 2	Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients. - 1	Discuss the origins and current procedures of sleep disorders to determine the best treatment option for patients. - 0

Rate the following *

Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor

	5	4	3	2	1
Course content.	Course content. - 5	Course content. - 4	Course content. - 3	Course content. - 2	Course content. - 1
Jeremy Tabak, M.D., FAASM	Jeremy Tabak, M.D., FAASM - 5	Jeremy Tabak, M.D., FAASM - 4	Jeremy Tabak, M.D., FAASM - 3	Jeremy Tabak, M.D., FAASM - 2	Jeremy Tabak, M.D., FAASM - 1

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

Please list specific changes you intend to implement in your daily practice as a result of attending this activity. *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

List topics related to this lecture that you want to learn more about?

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Sleep Center Evaluation- March 8, 2018