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 topic 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.	Program was free of commercial bias. - Strongly Agree	Program was free of commercial bias. - Agree	Program was free of commercial bias. - Neutral	Program was free of commercial bias. - Disagree	Program was free of commercial bias. - Strongly Disagree
I would consider enrolling in another Webcast session.	I would consider enrolling in another Webcast session. - Strongly Agree	I would consider enrolling in another Webcast session. - Agree	I would consider enrolling in another Webcast session. - Neutral	I would consider enrolling in another Webcast session. - Disagree	I would consider enrolling in another Webcast session. - Strongly Disagree

Do you have any suggestions for future topics to support and/or expand on what you have learned in this Webcast? *

How did you hear about this Webcast? *

Please explain any specific instance(s) of bias or conflict of interest. *

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? *

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