Program Evaluation

We appreciate your participation in this continuing education activity. Your responses to our survey will allow us to improve our program offerings and services.   Thank you for your time!
For each statement provided below, please circle the number on the 1 to 5 scale that best reflects your opinions about today’s conference. Using the scale: 1= Strongly Disagree 2= Disagree 3= Somewhat Agree 4= Agree 5= Strongly Agree

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* I feel that as a result of this activity I will be better able to:

  Strongly Disagree
1 		Diagree
2 		Somewhat Agree
3 		Agree
4 		Strongly Agree
5
Review how to take a sexual history from a patient over 65
Discuss common misconceptions and biases regarding older adults
Review disorders of sexual desire in older adults
Explain how to gather a history and appropriately prescribe for erectile dysfunction in older men

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* For each statement provided below, please check the number on the 1 to 5 scale that best reflects your opinions about today’s conference.

  Strongly Disagree
1 		Diagree
2 		Somewhat Agree
3 		Agree
4 		Strongly Agree
5
There was enough time to cover the topic
I would recommend this conference to my peers
The information was applicable to my daily activities

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* What were the major strengths of today’s conference?

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* Describe any perceived commercial bias.

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* Was today’s topic one that you would have identified as important to you?

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* Amount of time I spent at this activity:

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* Please share any additional comments and suggestions. Your feedback is extremely valuable to us. 

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* Please indicate what type of CE credit you are requesting:

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* Please list your information below so we may send you a Certificate:

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