Evaluation for test

Name*
First Last
Name as it should appear on certificate*
Email*
How long did it take you to complete this activity?
Hours*
HH
What is your profession?*
- Physician
- Nurse Practitioner
- Physician Assistant
- Nurse
How did you hear about this activity?*
- Email
- Twitter
- Colleague
Objectives
The course met the stated objectives
Distinguish the roles of the different health care professionals in the management of COVID-19 and pain*
Strongly disagree Disagree Neutral Agree Strongly agree
Content
Please rate your level of agreement with the following statements.

This activity…*

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
Helped me to have a better understanding of the topic(s).
Assisted me to consider using the information in a different way to improve my practice.
Provided me with resources I can use in my daily practice or with my patients.
Will support my routine clinical practice to deliver evidence-based, best practice that improves patient health outcomes.

Faculty
Rate the quality of the faculty from 5 (Excellent) to 1 (Poor).
Faculty*
5 4 3 2 1 N/A
Content
Clinical Relevance
Teaching Strategies
Level of Expertise
Credibility
Will you change the way you practice based on this activity?*
- Yes
- No
Do you feel the activity was balanced and objective?*
- Yes
- No
Do you feel the activity was free of commercial bias?*
- Yes
- No
Approximately what percent of this content was NEW to you?*
As compared to other CME activities you have participated in the past six months, do you believe this activity:*
- Increased your knowledge
- Will improve patient outcomes in your practice
Please describe the specific change you intend to make in your clinical practice as a result of what you have learned in the article.*
What I liked about this activity…? (Select all that apply)*
- It provided feedback throughout the activity
- It provided information in ways that I can review again later
- It gave me the opportunity to apply information to realistic scenarios that I confront in my practice
In the past six months, how many CME programs have you participated in?*
What was the most useful information you gained from this activity?
Suggested Topics for future activities:
General comments/suggestions:

Objectives