CASI Evaluation Form
Thank you for joining us at the CASI Functional & Lifestyle Medicine Symposium 2021! We would love to hear your thoughts, suggestions, or concerns on the event so we can improve for next year! Upon completion of this brief evaluation your Certificate of Attendance will be processed and sent to you by email based on the type of license you hold. See the CASI CEU FAQ
Name
*
First Name
Last Name
E-mail
*
example@example.com
My license type/board is:
*
Please Select
BCHN
CNS
DACBN
DC
LAc
NANP
ND
PDA Points (NCCAOM)
CAB
Other
If you selected 'other' please provide your license type below.
My license state is:
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
My license number is:
Providing your license number will assist with CE filing.
How did you attend CASI?
In-Person
Virtual
Did you feel our COVID safety protocols were sufficient?
Yes
No
N/A Attended Virtually
If you choose no, can you please elaborate:
Please indicate your satisfaction with the following aspects of CASI:
*
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Venue/ Facilities
Event agenda
Quality of Sessions
Amount of Sessions Offered
Information covered met the learning objectives
Presenters
Food / Catering
Please indicate your satisfaction with the content presented at CASI:
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I learned something new at this event
The information provided at this event is relevant to me / my practice
I am likely to use this information in my practice in the future
The presentations / materials covered at this event were well organized
Resources provided at this event are relevant to me / my practice
I am likely to use these resources in the future
Presentations were interesting
Comments:
Did you have any issues registering for or attending this event?
Yes
No
If you choose yes, can you please elaborate:
Was the event length just right, too long, or too short?
Just right
Too long
Too short
What topics did you find to be most interesting?
What topics would you find interesting to see at a future CASI event?
Please rate how helpful you found the breakout sessions to be?
Not helpful
1
2
3
4
Very relevant
5
1 is Not helpful, 5 is Very relevant
How informative was the Q&A panel?
Not Relevant
1
2
3
4
Very informative
5
1 is Not Relevant, 5 is Very informative
Please rate your satisfaction level with the WHOVA app:
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Was the WHOVA app easy to use?
Yes
No
If you choose no, can you please elaborate:
Which features of the WHOVA app were most helpful?
Please rate your overall experience with CASI 2021:
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How well was CASI structured?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How satisfied were you with the networking opportunities provided?
Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
What elements of CASI did you like the most?
Are you likely to attend CASI again?
Yes
Undecided
No
How likely are you to recommend this event to others?
Very likely
Maybe
Unlikely
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