How would you rate your experience with this course?

	0	1	2	3	4	5	6	7	8	9	10
0 (low) - 10 (high)	0 (low) - 10 (high) - 0	0 (low) - 10 (high) - 1	0 (low) - 10 (high) - 2	0 (low) - 10 (high) - 3	0 (low) - 10 (high) - 4	0 (low) - 10 (high) - 5	0 (low) - 10 (high) - 6	0 (low) - 10 (high) - 7	0 (low) - 10 (high) - 8	0 (low) - 10 (high) - 9	0 (low) - 10 (high) - 10

Course Evaluation Section 1: (Please evaluate honestly)

	Excellent	Very good	Good	Average	Below Average
The activity as a whole was:	The activity as a whole was: - Excellent	The activity as a whole was: - Very good	The activity as a whole was: - Good	The activity as a whole was: - Average	The activity as a whole was: - Below Average
The activity content was:	The activity content was: - Excellent	The activity content was: - Very good	The activity content was: - Good	The activity content was: - Average	The activity content was: - Below Average
The instructor's contribution to the activity was:	The instructor's contribution to the activity was: - Excellent	The instructor's contribution to the activity was: - Very good	The instructor's contribution to the activity was: - Good	The instructor's contribution to the activity was: - Average	The instructor's contribution to the activity was: - Below Average
The instructor's effectiveness in teaching the subject matter was:	The instructor's effectiveness in teaching the subject matter was: - Excellent	The instructor's effectiveness in teaching the subject matter was: - Very good	The instructor's effectiveness in teaching the subject matter was: - Good	The instructor's effectiveness in teaching the subject matter was: - Average	The instructor's effectiveness in teaching the subject matter was: - Below Average
The activity’s purpose and content was accurately communicated	The activity’s purpose and content was accurately communicated - Excellent	The activity’s purpose and content was accurately communicated - Very good	The activity’s purpose and content was accurately communicated - Good	The activity’s purpose and content was accurately communicated - Average	The activity’s purpose and content was accurately communicated - Below Average
Answers to questions were:	Answers to questions were: - Excellent	Answers to questions were: - Very good	Answers to questions were: - Good	Answers to questions were: - Average	Answers to questions were: - Below Average
Amount you learned was:	Amount you learned was: - Excellent	Amount you learned was: - Very good	Amount you learned was: - Good	Amount you learned was: - Average	Amount you learned was: - Below Average
Relevance of activity content was:	Relevance of activity content was: - Excellent	Relevance of activity content was: - Very good	Relevance of activity content was: - Good	Relevance of activity content was: - Average	Relevance of activity content was: - Below Average
Intellectual challenge was:	Intellectual challenge was: - Excellent	Intellectual challenge was: - Very good	Intellectual challenge was: - Good	Intellectual challenge was: - Average	Intellectual challenge was: - Below Average

Rate the following on a scale of 1 (low) to 5 (high).

	1 (low)	2	3	4	5 (high)
Were the resource materials and/or audiovisual components useful?	Were the resource materials and/or audiovisual components useful? - 1 (low)	Were the resource materials and/or audiovisual components useful? - 2	Were the resource materials and/or audiovisual components useful? - 3	Were the resource materials and/or audiovisual components useful? - 4	Were the resource materials and/or audiovisual components useful? - 5 (high)
Were your professional education needs met?	Were your professional education needs met? - 1 (low)	Were your professional education needs met? - 2	Were your professional education needs met? - 3	Were your professional education needs met? - 4	Were your professional education needs met? - 5 (high)
Did the education activity present accurate and current information?	Did the education activity present accurate and current information? - 1 (low)	Did the education activity present accurate and current information? - 2	Did the education activity present accurate and current information? - 3	Did the education activity present accurate and current information? - 4	Did the education activity present accurate and current information? - 5 (high)
Was the length and content of the education activity appropriate to meet the stated objective(s)?	Was the length and content of the education activity appropriate to meet the stated objective(s)? - 1 (low)	Was the length and content of the education activity appropriate to meet the stated objective(s)? - 2	Was the length and content of the education activity appropriate to meet the stated objective(s)? - 3	Was the length and content of the education activity appropriate to meet the stated objective(s)? - 4	Was the length and content of the education activity appropriate to meet the stated objective(s)? - 5 (high)
Was the education activity presented in a way that challenged your current practice?	Was the education activity presented in a way that challenged your current practice? - 1 (low)	Was the education activity presented in a way that challenged your current practice? - 2	Was the education activity presented in a way that challenged your current practice? - 3	Was the education activity presented in a way that challenged your current practice? - 4	Was the education activity presented in a way that challenged your current practice? - 5 (high)
How likely are you to change your practice as a result of participating in the education activity?	How likely are you to change your practice as a result of participating in the education activity? - 1 (low)	How likely are you to change your practice as a result of participating in the education activity? - 2	How likely are you to change your practice as a result of participating in the education activity? - 3	How likely are you to change your practice as a result of participating in the education activity? - 4	How likely are you to change your practice as a result of participating in the education activity? - 5 (high)

Course Evaluation Section 2: Commercial Bias (Please evaluate honestly)

	Strongly Agree	Agree	Neutral	Disagree	Strongly disagree
The activity’s purpose and content was accurately communicated	The activity’s purpose and content was accurately communicated - Strongly Agree	The activity’s purpose and content was accurately communicated - Agree	The activity’s purpose and content was accurately communicated - Neutral	The activity’s purpose and content was accurately communicated - Disagree	The activity’s purpose and content was accurately communicated - Strongly disagree
This activity avoided commercially induced bias I gained new strategies/skills/information that I can apply to my area of practice.	This activity avoided commercially induced bias I gained new strategies/skills/information that I can apply to my area of practice. - Strongly Agree	This activity avoided commercially induced bias I gained new strategies/skills/information that I can apply to my area of practice. - Agree	This activity avoided commercially induced bias I gained new strategies/skills/information that I can apply to my area of practice. - Neutral	This activity avoided commercially induced bias I gained new strategies/skills/information that I can apply to my area of practice. - Disagree	This activity avoided commercially induced bias I gained new strategies/skills/information that I can apply to my area of practice. - Strongly disagree
I plan to implement new strategies/skills/information into my practice.	I plan to implement new strategies/skills/information into my practice. - Strongly Agree	I plan to implement new strategies/skills/information into my practice. - Agree	I plan to implement new strategies/skills/information into my practice. - Neutral	I plan to implement new strategies/skills/information into my practice. - Disagree	I plan to implement new strategies/skills/information into my practice. - Strongly disagree
Did you perceive commercial bias I will implement the information in my area of practice.	Did you perceive commercial bias I will implement the information in my area of practice. - Strongly Agree	Did you perceive commercial bias I will implement the information in my area of practice. - Agree	Did you perceive commercial bias I will implement the information in my area of practice. - Neutral	Did you perceive commercial bias I will implement the information in my area of practice. - Disagree	Did you perceive commercial bias I will implement the information in my area of practice. - Strongly disagree

What strategies/changes do you plan to implement into your practice?

Please list any clinical issues within your scope of practice you would like to see addressed in future educational activities

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