1.First Name

2.Last Name

3.Email

4.The professional practice gap (educational needs) identified for this activity matches my current professional needs.

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5.This CME activity promotes practical changes or strategies that will enhance my professional practice and competence.

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6.This activity addresses areas of content that are relevant and have a direct impact on my professional practice or competence.

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7.Based on the stated desired learning outcomes (ideal competence) designed for this activity, my professional practice is in need of improvement(s).

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8.It is clear to me what the desired learning outcomes (educational objectives) are for this activity.

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