Sleep Center Evaluation- October 11, 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
Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice.	Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice. - 5	Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice. - 4	Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice. - 3	Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice. - 2	Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice. - 1	Implement evidence-based best practice parameters for the diagnosis and treatment of sleep disorders commonly seen in clinical practice. - 0
Utilize screening techniques for early diagnosis of sleep disorders.	Utilize screening techniques for early diagnosis of sleep disorders. - 5	Utilize screening techniques for early diagnosis of sleep disorders. - 4	Utilize screening techniques for early diagnosis of sleep disorders. - 3	Utilize screening techniques for early diagnosis of sleep disorders. - 2	Utilize screening techniques for early diagnosis of sleep disorders. - 1	Utilize screening techniques for early diagnosis of sleep disorders. - 0
Formulate treatment plans to include behavioral therapies when appropriate.	Formulate treatment plans to include behavioral therapies when appropriate. - 5	Formulate treatment plans to include behavioral therapies when appropriate. - 4	Formulate treatment plans to include behavioral therapies when appropriate. - 3	Formulate treatment plans to include behavioral therapies when appropriate. - 2	Formulate treatment plans to include behavioral therapies when appropriate. - 1	Formulate treatment plans to include behavioral therapies when appropriate. - 0
Determine when to refer patients to appropriate specialists.	Determine when to refer patients to appropriate specialists. - 5	Determine when to refer patients to appropriate specialists. - 4	Determine when to refer patients to appropriate specialists. - 3	Determine when to refer patients to appropriate specialists. - 2	Determine when to refer patients to appropriate specialists. - 1	Determine when to refer patients to appropriate specialists. - 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
Timothy L. Grant, M.D., FAASM	Timothy L. Grant, M.D., FAASM - 5	Timothy L. Grant, M.D., FAASM - 4	Timothy L. Grant, M.D., FAASM - 3	Timothy L. Grant, M.D., FAASM - 2	Timothy L. Grant, M.D., FAASM - 1
Jeremy I. Tabak, M.D. FCCP, FAASM	Jeremy I. Tabak, M.D. FCCP, FAASM - 5	Jeremy I. Tabak, M.D. FCCP, FAASM - 4	Jeremy I. Tabak, M.D. FCCP, FAASM - 3	Jeremy I. Tabak, M.D. FCCP, FAASM - 2	Jeremy I. Tabak, M.D. FCCP, FAASM - 1
Marcy I. Wasman, Ph.D., CBSM	Marcy I. Wasman, Ph.D., CBSM - 5	Marcy I. Wasman, Ph.D., CBSM - 4	Marcy I. Wasman, Ph.D., CBSM - 3	Marcy I. Wasman, Ph.D., CBSM - 2	Marcy I. Wasman, Ph.D., CBSM - 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- October 11, 2018