A separate evaluation is needed for each program you attended.

Question Title

* 1. Check which program you attended:

Question Title

* 2. The program objectives were clear, realistic and obtainable.

Question Title

* 3. This session met my personal objectives/expectations.

Question Title

* 4. The physical facilities were adequate.

Question Title

* 5. The length of the session was appropriate.

Question Title

* 6. Discussion and interpretation of ideas was encouraged.

Question Title

* 7. PHYSICIAN ATTESTATION FORM
Please attest to your attendance by indicating if you attended the program in its entirety or indicating the amount of time you attended the program to obtain CME credit. Please choose one of the following:

Question Title

* 8. Identify yourself:

Question Title

* 9. I certify that the information provided above is accurate and documents only the credit hour(s) I actually spent in the educational activity.

Question Title

* 10. Enter you electronic signature (typing your name is acceptable)

Question Title

* 11. Date:

T