Continuing Education Evaluation Form
Full Name
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Reference No. / Confirmation No.
*
Email Address for CME Certificate
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LECTURE 1
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Poor
Average
Good
Excellent
Speaker
Content
Audiovisual
Discussion
Impact on Patient Care
LECTURE 2
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Poor
Average
Good
Excellent
Speaker
Content
Audiovisual
Discussion
Impact on Patient Care
This event represented new knowledge:
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None
Some
Moderate
All New
The Program
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Yes
No
The program’s objectives were clearly defined.
The program met the stated objectives.
The program was relevant to the topic.
The program met my expectations.
There was sufficient time for discussion.
The program was well organized.
Should this program be offered again?
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Yes
No
If yes, how often?
Annually
Biannually
Other
Kindly suggest any modifications that we can bring to our CME Programs.
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What topics would you like to see us present in the future?
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The Venue
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Yes
No
The venue is accessible to everyone.
The venue has available room accommodation for delegates need to stay in.
The lecture room is conducive for learning experience and equipped with audiovisual components for online lectures.
The venue offers refreshments and meals.
Overall, the venue is suitable for this event.
Comments / Suggestions:
