Conference Evaluation Form

Select your participation type...
Participant
Vendor
Speaker

What suggestions do you have to
improve the conference?



Your feedback about the conference


What other health care/professional
topics would you like to see presented?



The Overall Program Goal is...
"To provide a variety of speakers
and topics that are current and
relevant to Physician Assistants
and that will allow them to increase
their knowledge and improve their
clinical practice."

Please let us know the following...

"I think the overall purpose/goal for
this activity was met."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments:

"This activity was worthwhile for
my professional practice."

Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments:

"As a health care provider, this activity
will enhance my knowledge/skill."

Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments:

As a result of this activity,
please share at least one action
you will take to change your
professional practice/performance.





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