1 Start 2 Complete

Please indicate the degree to which you agree with each statement by selecting the appropriate box. *

	Strongly Agree	Agree	Disagree	Strongly Disagree
The CME activity met its learning objectives.	The CME activity met its learning objectives. - Strongly Agree	The CME activity met its learning objectives. - Agree	The CME activity met its learning objectives. - Disagree	The CME activity met its learning objectives. - Strongly Disagree
My time used to attend the CME activity was productively spent.	My time used to attend the CME activity was productively spent. - Strongly Agree	My time used to attend the CME activity was productively spent. - Agree	My time used to attend the CME activity was productively spent. - Disagree	My time used to attend the CME activity was productively spent. - Strongly Disagree
The CME activity was relevant to my specific needs and interests.	The CME activity was relevant to my specific needs and interests. - Strongly Agree	The CME activity was relevant to my specific needs and interests. - Agree	The CME activity was relevant to my specific needs and interests. - Disagree	The CME activity was relevant to my specific needs and interests. - Strongly Disagree
The CME speaker was knowledgeable of the subject matter.	The CME speaker was knowledgeable of the subject matter. - Strongly Agree	The CME speaker was knowledgeable of the subject matter. - Agree	The CME speaker was knowledgeable of the subject matter. - Disagree	The CME speaker was knowledgeable of the subject matter. - Strongly Disagree
The CME speaker effectively encouraged attendees' questions.	The CME speaker effectively encouraged attendees' questions. - Strongly Agree	The CME speaker effectively encouraged attendees' questions. - Agree	The CME speaker effectively encouraged attendees' questions. - Disagree	The CME speaker effectively encouraged attendees' questions. - Strongly Disagree
The CME slides/written materials were effective.	The CME slides/written materials were effective. - Strongly Agree	The CME slides/written materials were effective. - Agree	The CME slides/written materials were effective. - Disagree	The CME slides/written materials were effective. - Strongly Disagree
The CME activity promoted quality in health care.	The CME activity promoted quality in health care. - Strongly Agree	The CME activity promoted quality in health care. - Agree	The CME activity promoted quality in health care. - Disagree	The CME activity promoted quality in health care. - Strongly Disagree
The CME speaker provided clear and timely responses to questions posed by attendees.	The CME speaker provided clear and timely responses to questions posed by attendees. - Strongly Agree	The CME speaker provided clear and timely responses to questions posed by attendees. - Agree	The CME speaker provided clear and timely responses to questions posed by attendees. - Disagree	The CME speaker provided clear and timely responses to questions posed by attendees. - Strongly Disagree

As a result of participation in the learning activity, the attendee's expertise will change via measurable increase in competence and/or performance. *

Strongly agree

Agree

Disagree

Strongly disagree

What are the most important things you learned from the CME activity? *

How could the CME activity have been improved? *

Was disclosure information for the speaker made available to you? *

Yes

No

Was the material presented information that is evidence-based, patient-centered, objective and free of bias, commercial interest or influence? *

Yes

No

What topics would you like to see in future preceptor development programs? *

Leave this field blank