CE Program Registration
Welcome! Please complete this registration form prior to viewing the CE program. After viewing the video, please complete the evaluation form to receive your CE Certificate. If you have any problems or questions, please contact Chris Cavanaugh at ccavanaugh@rymedtech.com
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
Workplace
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
State
Zip Code
Email address to receive CEU Certificate
*
example@example.com
Back
Next
Please watch the video in its entirety before completing the evaluation. Thank you!
Back
Next
OnDemand CE Program Evaluation
Thank you for viewing our CE program. Your feedback will help to improve future events, webinars and courses. When you have submitted this evaluation form, you will receive your Continuing Education Certificate pdf. Please download and save your certificate for your files.
Overall, how well did the program meet your learning needs and expectations?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
How effective were format and teaching materials?
*
Not Helpful
1
2
3
4
Excellent
5
1 is Not Helpful, 5 is Excellent
Did the presentation meet the stated objectives?
*
Rows
Not at all
Not really
Somewhat
Mostly
Definitely
Objective 1
Objective 2
Objective 3
Would you recommend a similar event to a friend?
*
Yes, definitely
Maybe, if the content was changed
Maybe, if it was cheaper
No, never
Evaluate the Presenter: Did you feel Chris Cavanaugh was:
*
Rows
Not at all
Not really
Somewhat
Mostly
Definitely
Interesting and entertaining
Relevant to you
Knowledgeable About the Subject
Unbiased
Professional while presenting
Overall, were you satisfied with the format and were you able to see and hear the presentation clearly?
*
Yes
No
Did you encounter any problems?
Final Thoughts?
Any suggestions for future topics?
Any final comments?
Submit Form
Should be Empty: