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VPS Evaluation Form
VPS Evaluation Form
vpsasadmin
2017-01-31T17:44:02+00:00
Please submit this form 6 – 9 weeks after the meeting.
VPsaS Evaluation Form by Attendee
Name
*
First
Last
Email
*
Title of CME/CE Activity
*
Chair / Presenter / Faculty
*
Date of CME/CE Activity
*
MM slash DD slash YYYY
1. This training gave me strategies I could use in my practice to improve my professional competence.
*
5. Strongly Agree
4. Agree
3. Don't Know
2. Disagree
1. Strongly Disagree
2. I was able to transfer information from this training into my practice.
*
5. Strongly Agree
4. Agree
3. Don't Know
2. Disagree
1. Strongly Disagree
3. An example of information I was able to transfer to my practice from this training is:
*
5. Strongly Agree
4. Agree
3. Don't Know
2. Disagree
1. Strongly Disagree
4. My professional competence (available strategies) would be improved if I had training on:
*
5. Strongly Agree
4. Agree
3. Don't Know
2. Disagree
1. Strongly Disagree
5. I get more out of the following types of learning (check all that apply):
*
Case Presentations
Workshops
Panel Discussions
Video or Audio Presentations
Formal Discussion Groups
Self-Assessment Inventory
Journals
Monographs or Supplements
Abstract Presentations
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