Evaluation Form

Please fill out this evaluation, once submitted you will have the option to print and save your CME certificate.

First Name: * Last Name: * *

Email: *

Curriculum Evaluation

Application to Practice

I learned new information that is directly applicable to my clinical practice
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree


I learned new information that will help me improve the health of my patients.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree


Did the course content provide the foundation necessary to change your approach to
treating/managing stroke patients?


What will you do differently in the care of your patients or in your practice
as a result of attending this conference?


What barriers do you feel you may or will encounter that prevent you
from making a change in your practice?


Speaker Evaluation

How well did our faculty speakers meet your expectations?

Mayank Goyal, MD:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Mary Kay Bader, RN, MSN:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Aditi Joshi, MD, MSc:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Sandeep Khot, MD:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Sarah Hermanson, DNP, ARNP, FNP:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Robert Ryan, MD:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Akshal Patel, MD:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


David Robinson, MD:
Exceeded Expectations
Met Expectations
Did Not Meet Expectations


Comments on Individual Speaker(s): How well did our faculty speakers meet your expectations?


Overall CME Conference

How well did we meet your expectations?


Were the presentations free of commercial bias?
Yes
No


Overall rating of the CME Conference as a whole.
Excellent
Very Good
Good
Fair
Poor

Areas of improvement to consider for our 2020 Neurovascular Conference:


Thank you for coming!