JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Educators Collaborative Event Form
Please fill out entirely to obtain CME credit.
Sign in to Google
to save your progress.
Learn more
Event date:
MM
/
DD
/
YYYY
What is your name?
Your answer
Degree? (For CME/CNE)
Your answer
What is your email address?
Your answer
How did you hear about the event?
Your answer
Please rate the overall quality of the event:
Poor
1
2
3
4
5
Excellent
Clear selection
Were the course objectives met?
Yes
No
Clear selection
Was the speaker effective?
Yes
No
Clear selection
Did you learn new information and strategies that you can apply to your work or practice?
Yes (if so, please describe in "other")
No
Other:
Was the information/material free from commercial bias?
Yes
No (please elaborate in "other")
Other:
Feedback, ideas for future presentations/events:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
