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Did this activity: *

	Not at All	Insufficiently	Neutral	Sufficiently	Completely
Meet the stated learning objectives?	Meet the stated learning objectives? - Not at All	Meet the stated learning objectives? - Insufficiently	Meet the stated learning objectives? - Neutral	Meet the stated learning objectives? - Sufficiently	Meet the stated learning objectives? - Completely
Present the material in a format appropriate to the topic?	Present the material in a format appropriate to the topic? - Not at All	Present the material in a format appropriate to the topic? - Insufficiently	Present the material in a format appropriate to the topic? - Neutral	Present the material in a format appropriate to the topic? - Sufficiently	Present the material in a format appropriate to the topic? - Completely
Offer knowledge/skills to collaborate with your team to provide patient centered care?	Offer knowledge/skills to collaborate with your team to provide patient centered care? - Not at All	Offer knowledge/skills to collaborate with your team to provide patient centered care? - Insufficiently	Offer knowledge/skills to collaborate with your team to provide patient centered care? - Neutral	Offer knowledge/skills to collaborate with your team to provide patient centered care? - Sufficiently	Offer knowledge/skills to collaborate with your team to provide patient centered care? - Completely
Prepare you to better communicate with other members of your multidisciplinary care team?	Prepare you to better communicate with other members of your multidisciplinary care team? - Not at All	Prepare you to better communicate with other members of your multidisciplinary care team? - Insufficiently	Prepare you to better communicate with other members of your multidisciplinary care team? - Neutral	Prepare you to better communicate with other members of your multidisciplinary care team? - Sufficiently	Prepare you to better communicate with other members of your multidisciplinary care team? - Completely

I expect that my participation in this activity will improve my: *

	Not at All	Insufficiently	Neutral	Sufficiently	Completely
Competence (skills/abilities/strategies gained from the new information)	Competence (skills/abilities/strategies gained from the new information) - Not at All	Competence (skills/abilities/strategies gained from the new information) - Insufficiently	Competence (skills/abilities/strategies gained from the new information) - Neutral	Competence (skills/abilities/strategies gained from the new information) - Sufficiently	Competence (skills/abilities/strategies gained from the new information) - Completely
Performance (implementing the new skills/abilities/strategies)	Performance (implementing the new skills/abilities/strategies) - Not at All	Performance (implementing the new skills/abilities/strategies) - Insufficiently	Performance (implementing the new skills/abilities/strategies) - Neutral	Performance (implementing the new skills/abilities/strategies) - Sufficiently	Performance (implementing the new skills/abilities/strategies) - Completely
Patient Outcomes (the potential effect from gained skills/abilities/strategies)	Patient Outcomes (the potential effect from gained skills/abilities/strategies) - Not at All	Patient Outcomes (the potential effect from gained skills/abilities/strategies) - Insufficiently	Patient Outcomes (the potential effect from gained skills/abilities/strategies) - Neutral	Patient Outcomes (the potential effect from gained skills/abilities/strategies) - Sufficiently	Patient Outcomes (the potential effect from gained skills/abilities/strategies) - Completely

Based upon your participation in this activity, do you intend to change your practice behavior? *

I plan to implement changes in my practice based on the information presented.

My current practice is consistent with the information presented.

I need more information before I will change my practice.

If you plan to change your practice behavior, what type of changes do you plan to implement? (Please select all that apply.) *

Apply latest guidelines

Choice of treatment/management approach

Change in pharmaceutical therapy

Change in current practice for referral

Change in non-pharmaceutical therapy

Change in differential diagnosis

Change in diagnostic testing

Was the activity fair, balanced, and free of commercial bias? *

Yes

No

If No, please provide additional comment (please be as specific as possible)

Leave this field blank