Please rate this activity for overall quality. *

Excellent

Very Good

Good

Fair

Poor

This activity met the learning objectives. *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Explain why you disagree or strongly disagree with the statement, "This activity met the learning objectives."

Please rate the following statements: *

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Not applicable
The content of this activity was relevant and met my educational needs.	The content of this activity was relevant and met my educational needs. - Strongly Agree	The content of this activity was relevant and met my educational needs. - Agree	The content of this activity was relevant and met my educational needs. - Neutral	The content of this activity was relevant and met my educational needs. - Disagree	The content of this activity was relevant and met my educational needs. - Strongly Disagree	The content of this activity was relevant and met my educational needs. - Not applicable
The information presented provided new ideas or information that I expect to use.	The information presented provided new ideas or information that I expect to use. - Strongly Agree	The information presented provided new ideas or information that I expect to use. - Agree	The information presented provided new ideas or information that I expect to use. - Neutral	The information presented provided new ideas or information that I expect to use. - Disagree	The information presented provided new ideas or information that I expect to use. - Strongly Disagree	The information presented provided new ideas or information that I expect to use. - Not applicable
The activity format was appropriate and effective.	The activity format was appropriate and effective. - Strongly Agree	The activity format was appropriate and effective. - Agree	The activity format was appropriate and effective. - Neutral	The activity format was appropriate and effective. - Disagree	The activity format was appropriate and effective. - Strongly Disagree	The activity format was appropriate and effective. - Not applicable
The information presented enables me to make changes in my practice.	The information presented enables me to make changes in my practice. - Strongly Agree	The information presented enables me to make changes in my practice. - Agree	The information presented enables me to make changes in my practice. - Neutral	The information presented enables me to make changes in my practice. - Disagree	The information presented enables me to make changes in my practice. - Strongly Disagree	The information presented enables me to make changes in my practice. - Not applicable
I am very committed to implementing my new competencies and/or knowledge.	I am very committed to implementing my new competencies and/or knowledge. - Strongly Agree	I am very committed to implementing my new competencies and/or knowledge. - Agree	I am very committed to implementing my new competencies and/or knowledge. - Neutral	I am very committed to implementing my new competencies and/or knowledge. - Disagree	I am very committed to implementing my new competencies and/or knowledge. - Strongly Disagree	I am very committed to implementing my new competencies and/or knowledge. - Not applicable
If I make these changes, I will positively impact patient outcomes.	If I make these changes, I will positively impact patient outcomes. - Strongly Agree	If I make these changes, I will positively impact patient outcomes. - Agree	If I make these changes, I will positively impact patient outcomes. - Neutral	If I make these changes, I will positively impact patient outcomes. - Disagree	If I make these changes, I will positively impact patient outcomes. - Strongly Disagree	If I make these changes, I will positively impact patient outcomes. - Not applicable
This activity was evidence based.	This activity was evidence based. - Strongly Agree	This activity was evidence based. - Agree	This activity was evidence based. - Neutral	This activity was evidence based. - Disagree	This activity was evidence based. - Strongly Disagree	This activity was evidence based. - Not applicable
I would recommend this activity to others.	I would recommend this activity to others. - Strongly Agree	I would recommend this activity to others. - Agree	I would recommend this activity to others. - Neutral	I would recommend this activity to others. - Disagree	I would recommend this activity to others. - Strongly Disagree	I would recommend this activity to others. - Not applicable

This activity was presented in a fair and unbiased manner. *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Explain why you disagree or strongly disagree with the statement, "This activity was presented in a fair and unbiased manner."

What additional topics would be of benefit to your professional development and practice improvement?

To assist the in ongoing quality improvement, please provide any comments regarding the activity content or format:

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