Continuing Medical Education Participant Evaluation Form (Conference: November 29, 2025)
Thank you for attending this CME/CE activity. Your feedback is essential to improve the quality and effectiveness of our educational programs. Please complete this form honestly.
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Full Name
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Mobile No.
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Job Title
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Company
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Reference No. / Confirmation No. / Registration No.
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Email Address for CME Certificate
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Section 1: Activity Content
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
1. The learning objectives were clearly stated.
2. The content was relevant to my professional practice.
3. The activity was evidence-based and free from commercial bias.
Section 2: Educational Effectiveness
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
4. The activity increased my knowledge on the topic.
5. The activity will change or reinforce my practice.
6. The teaching methods were effective (e.g., lectures, case discussions, workshops).
Section 3: Speaker/Faculty Evaluation
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7. The speaker(s) were knowledgeable and well-prepared.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Canal stenosis and Minimally Invasive Lumbar Decompression MILD - Dr. Abdullah Terkawi
MIS Interspinous Spacers/Fusion - Dr. Nameer Haider
MIS Sacroiliac Joint Fusion - Dr. Sudhir Diwan
Vertebrogenic pain and Vertebro-Basilar Ablation - Dr. Sudhir Diwan
Discogenic Pain and Intradiscal Procedures - Dr. Nameer Haider
Endocopic Discectomy - Dr. Waseem Aziz
Regenerative Medicine and Emerging Therapies in the Management of Tendinopathies - Dr. Mohamed Emam
Future Exosome Applications in Regenerative Medicine - Dr. Jen Li Pan
Spinal Subchondral BMAC for Advanced Degenerative Spine - Dr. Sudhir Diwan
Intrathecal Drug Delivery for Cancer Pain - Dr. Vinita Singh
Managing Advanced Cancer Pain: Beyond Intrathecal Drug Delivery - Dr. Vinita Singh
Managing Advanced Cancer Pain: Palliative Care perspective - Dr. Mona Tareen
8. The speaker(s) presented information in a clear and understandable manner.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Canal stenosis and Minimally Invasive Lumbar Decompression MILD - Dr. Abdullah Terkawi
MIS Interspinous Spacers/Fusion - Dr. Nameer Haider
MIS Sacroiliac Joint Fusion - Dr. Sudhir Diwan
Vertebrogenic pain and Vertebro-Basilar Ablation - Dr. Sudhir Diwan
Discogenic Pain and Intradiscal Procedures - Dr. Nameer Haider
Endocopic Discectomy - Dr. Waseem Aziz
Regenerative Medicine and Emerging Therapies in the Management of Tendinopathies - Dr. Mohamed Emam
Future Exosome Applications in Regenerative Medicine - Dr. Jen Li Pan
Spinal Subchondral BMAC for Advanced Degenerative Spine - Dr. Sudhir Diwan
Intrathecal Drug Delivery for Cancer Pain - Dr. Vinita Singh
Managing Advanced Cancer Pain: Beyond Intrathecal Drug Delivery - Dr. Vinita Singh
Managing Advanced Cancer Pain: Palliative Care perspective - Dr. Mona Tareen
Section 4: Overall Experience
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Excellent
Good
Fair
Poor
9. The overall quality of the activity met my expectations.
10. The activity met my professional needs.
11. The activity has impact on improving patient care
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Yes
No
12. The program was well organized.
13. Would you recommend this activity to your colleagues?
14. Should this program be offered again?
If yes, how often?
Annually
Biannually
Other
Section 5: The Venue
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Yes
No
15. The venue is accessible to everyone.
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Yes
No
Not Applicable
16. The venue has available room for delegates who need to stay in.
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Yes
No
17. The lecture room is conducive for learning experience and equipped with audiovisual components for live and online lectures.
18. The venue offers refreshments and meals.
19. Overall, the venue is suitable for this event.
Section 6: Open-Ended Feedback
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20. What was the most valuable part of this activity?
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21. How could this activity be improved?
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22. What topics would you like to have in the future?
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23. Additional comments or suggestions:
