2017 C-Bones Annual Meeting Thursday, May19 Program Evaluation and Record of Attendance To receive verification of your attendance and CME hours, COMPLETE this evaluation form. Question Title * 1. Contact Name Email Address Question Title * 2. Moderator Poor Fair Satisfactory Good Excellent James Keil, C-Bones President James Keil, C-Bones President Poor James Keil, C-Bones President Fair James Keil, C-Bones President Satisfactory James Keil, C-Bones President Good James Keil, C-Bones President Excellent Question Title * 3. Keynote Speaker Poor Fair Satisfactory Good Excellent Part I - Practice Transition Planning - When is the Right Time Karen Zupko, Zupko & Associates Part I - Practice Transition Planning - When is the Right Time Karen Zupko, Zupko & Associates Poor Part I - Practice Transition Planning - When is the Right Time Karen Zupko, Zupko & Associates Fair Part I - Practice Transition Planning - When is the Right Time Karen Zupko, Zupko & Associates Satisfactory Part I - Practice Transition Planning - When is the Right Time Karen Zupko, Zupko & Associates Good Part I - Practice Transition Planning - When is the Right Time Karen Zupko, Zupko & Associates Excellent Part II - Transition Tales From the Front with C-Bones Panel DiscussionKaren Zupko, Zupko & Associates Part II - Transition Tales From the Front with C-Bones Panel DiscussionKaren Zupko, Zupko & Associates Poor Part II - Transition Tales From the Front with C-Bones Panel DiscussionKaren Zupko, Zupko & Associates Fair Part II - Transition Tales From the Front with C-Bones Panel DiscussionKaren Zupko, Zupko & Associates Satisfactory Part II - Transition Tales From the Front with C-Bones Panel DiscussionKaren Zupko, Zupko & Associates Good Part II - Transition Tales From the Front with C-Bones Panel DiscussionKaren Zupko, Zupko & Associates Excellent Question Title * 4. 2017 & 2018 Work Comp Updates Poor Fair Satisfactory Good Excellent Sarah Moray Sarah Moray Poor Sarah Moray Fair Sarah Moray Satisfactory Sarah Moray Good Sarah Moray Excellent Sarah Moray Sarah Moray Poor Sarah Moray Fair Sarah Moray Satisfactory Sarah Moray Good Sarah Moray Excellent Question Title * 5. C-Bones Business Meeting Poor Fair Satisfactory Good Excellent C-Bones Leadership C-Bones Leadership Poor C-Bones Leadership Fair C-Bones Leadership Satisfactory C-Bones Leadership Good C-Bones Leadership Excellent Question Title * 6. CARE2 - Leadership Session (Care squared) - Leadership Session Poor Fair Satisfactory Good Excellent Deb Wiggs Deb Wiggs Poor Deb Wiggs Fair Deb Wiggs Satisfactory Deb Wiggs Good Deb Wiggs Excellent Question Title * 7. ADEPT (Application Distinction, Effectiveness, Profitability, & Talent) Poor Fair Satisfactory Good Excellent Deb Wiggs Deb Wiggs Poor Deb Wiggs Fair Deb Wiggs Satisfactory Deb Wiggs Good Deb Wiggs Excellent Question Title * 8. Staff Selection and Training Tools in the New Tech Era Poor Fair Satisfactory Good Excellent Karen Zupko, Zupko & Associates Karen Zupko, Zupko & Associates Poor Karen Zupko, Zupko & Associates Fair Karen Zupko, Zupko & Associates Satisfactory Karen Zupko, Zupko & Associates Good Karen Zupko, Zupko & Associates Excellent Question Title * 9. C-Bones Reception Poor Fair Satisfactory Good Excellent Vodka Tasting Vodka Tasting Poor Vodka Tasting Fair Vodka Tasting Satisfactory Vodka Tasting Good Vodka Tasting Excellent Educational Merit Question Title * 10. Please rate the extent of your knowledge of the subject matter covered before and after this meeting; No knowledge Fair Satisfactory Good Expert Before the meeting Before the meeting No knowledge Before the meeting Fair Before the meeting Satisfactory Before the meeting Good Before the meeting Expert After the meeting After the meeting No knowledge After the meeting Fair After the meeting Satisfactory After the meeting Good After the meeting Expert To what extent do you think you will be able to apply the information from this meeting in your practice? To what extent do you think you will be able to apply the information from this meeting in your practice? No knowledge To what extent do you think you will be able to apply the information from this meeting in your practice? Fair To what extent do you think you will be able to apply the information from this meeting in your practice? Satisfactory To what extent do you think you will be able to apply the information from this meeting in your practice? Good To what extent do you think you will be able to apply the information from this meeting in your practice? Expert Question Title * 11. What Topics Would you Like to See Covered at Future C-Bones Meetings? Done