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CE Evaluation Form

Procedural Management of Common Painful Conditions - TVPC

ABN Hours: 1.2 / Pharmacology-RN: 0.5
ASNA: 1.0

Instructions: Please complete the following questionnaire. CE certificates available by contacting (256) 265-3132.
1.Please enter your Name, Department or Facility (if not HH)
2.Objectives: As a result of this training, I am able to:
Define Chronic Pain
3.Objectives: As a result of this training, I am able to:
Explore common pain conditions and diagnostic assessments
4.Objectives: As a result of this training, I am able to:
Evaluate goals of procedural therapy and alternatives to opioid use
5.Objectives: As a result of this training, I am able to:
Review candidacy guidelines for interventional procedures
6.Location/Environment was conducive to learning
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
7.Quality of print materials
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
8.Quality of audio visual materials
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
9.Quality of the use of materials
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
10.Organization / logical sequence
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
11.Usefulness / Practicality 
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
12.Helpfulness of Corporate University Staff
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
13.Registration Experience
Poor
Fair
Average
Good 
Excellent
N/A - Not Applicable
14.Was the content objective and balanced?
15.Was the activity free from commercial bias?
16.How applicable is the content to your daily professional activities?
17.What other topics would help you better perform your job?
18.Instructor: 
Mastery of content and skill
Poor
Fair
Average
Good
Excellent
19.Instructor: 
Presentation skills
Poor
Fair
Average
Good
Excellent