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Please rate the following statements

	Excellent	Very Good	Good	Fair	Poor
Overall, how would you rate this educational activity?	Overall, how would you rate this educational activity? - Excellent	Overall, how would you rate this educational activity? - Very Good	Overall, how would you rate this educational activity? - Good	Overall, how would you rate this educational activity? - Fair	Overall, how would you rate this educational activity? - Poor

Please rate the following statements on program topics and content

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Program topics and content met the stated objectives.	Program topics and content met the stated objectives. - Strongly Agree	Program topics and content met the stated objectives. - Agree	Program topics and content met the stated objectives. - Neutral	Program topics and content met the stated objectives. - Disagree	Program topics and content met the stated objectives. - Strongly Disagree
Content was relevant to my educational needs.	Content was relevant to my educational needs. - Strongly Agree	Content was relevant to my educational needs. - Agree	Content was relevant to my educational needs. - Neutral	Content was relevant to my educational needs. - Disagree	Content was relevant to my educational needs. - Strongly Disagree
Educational format was conducive to learning.	Educational format was conducive to learning. - Strongly Agree	Educational format was conducive to learning. - Agree	Educational format was conducive to learning. - Neutral	Educational format was conducive to learning. - Disagree	Educational format was conducive to learning. - Strongly Disagree
This activity has improved my competence.	This activity has improved my competence. - Strongly Agree	This activity has improved my competence. - Agree	This activity has improved my competence. - Neutral	This activity has improved my competence. - Disagree	This activity has improved my competence. - Strongly Disagree
This activity will improve my performance.	This activity will improve my performance. - Strongly Agree	This activity will improve my performance. - Agree	This activity will improve my performance. - Neutral	This activity will improve my performance. - Disagree	This activity will improve my performance. - Strongly Disagree
This activity will enhance my communication skills.	This activity will enhance my communication skills. - Strongly Agree	This activity will enhance my communication skills. - Agree	This activity will enhance my communication skills. - Neutral	This activity will enhance my communication skills. - Disagree	This activity will enhance my communication skills. - Strongly Disagree
This activity will improve patient outcomes.	This activity will improve patient outcomes. - Strongly Agree	This activity will improve patient outcomes. - Agree	This activity will improve patient outcomes. - Neutral	This activity will improve patient outcomes. - Disagree	This activity will improve patient outcomes. - Strongly Disagree
This activity will improve processes of care and/or healthcare system performance.	This activity will improve processes of care and/or healthcare system performance. - Strongly Agree	This activity will improve processes of care and/or healthcare system performance. - Agree	This activity will improve processes of care and/or healthcare system performance. - Neutral	This activity will improve processes of care and/or healthcare system performance. - Disagree	This activity will improve processes of care and/or healthcare system performance. - Strongly Disagree

Program was free of commercial bias:

Yes

No

If "No", please explain instances of commercial bias:

How could this educational activity been enhanced?

List a minimum of two things you are going to change as a result of what you have learned.

Describe the barriers anticipated when implementing the above changes.

Do you have any suggestions for future topics?

Additional Comments:

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