Opioid Evaluation

Participant Course Evaluation Form

Florida Academy of Pediatric Dentistry #50-673 January 11, 2022
The Opioid Crisis and Prescription Medications

by Jason Portnof, DMD, MD
Please enter your license number to receive your CE Certificate
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Instructions:

This form will be used to evaluate the courses offered by FAPD. Please answer the first 5 questions from a scale of Poor to Excellent. For open questions, please answer openly.

Poor (1), Fair (2), Average(3), Good (4) & Excellent (5)

1. How would you rate the overall course? *

	1	2	3	4	5

1 is Poor, 5 is Excellent

2. How would you rate the instructor? *

	1	2	3	4	5

1 is Poor, 5 is Excellent

3. How would you rate the pace of the material covered? *

	1	2	3	4	5

1 is Poor, 5 is Excellent

4. How related to your everyday practice was this material? *

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Participant Course Evaluation Form