Providers
Locations
Services
Patients & Visitors
Careers
Bill Pay
Patient Portal
Providers
Locations
Services
Patients & Visitors
Careers
Bill Pay
Patient Portal
BHS CME Evaluation
First and Last Name
*
Email Address
*
Please select the appropriate box below regarding your role
*
Physician
ACP
Other
Date of Educational Content
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Title of Educational Content/ Material
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The speaker effectively presented the information and answered questions relevant to issues
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Strongly Agree
Agree
Neutral
Disagree
Strogly Disagree
The program addressed described objectives and met learning needs
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Strongly Agree
Agree
Neutral
Disagree
Strogly Disagree
The material presented was relevant to my practice
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Strongly Agree
Agree
Neutral
Disagree
Strogly Disagree
Did the speaker show any bias toward a specific commercial product?
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Yes
No
I was present for the financial interest disclosure made prior to the presentation?
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Yes
No
Did this activity clarify or reinforce principles and concepts that affect your patient outcomes?
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Yes
No
Based on this activity will changes occur to your practice?
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Yes
No
Please list any changes you will implement as a result of this activity:
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Please describe any clinical situations that you would like to see addressed in future education activities:
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Comments:
*