Evaluation Form

Please fill out this evaluation, once submitted you will have the option to print and save your CME certificate. Please note, you will write in your name on the certificate, put the number of CME you claimed and sign. Please make sure you claimed your credits on the attendance sheet.

First Name: * Last Name: * *

Email: *

After attending the Spokane Pain Conference,
what specific changes do you plan on implementing because of this conference?


Please list topics that you would like at future conferences.
Topics that would help increase your competency, performance, or patient outcomes.


Please identify two educational problems that you have seen in your medical community.


Any feedback on any of the presenters?


Other Comments: :


Thank you for coming!