Evaluation Form

Your overall evaluation regarding the quality of the Western Canada Addiction Forum

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The course content was relevant to my clinical practice
The program met stated learning objectives
The presentations were well organized
This conference satisfied my expectations
Potential conflicts of interest were clearly communicated
The content was evidence based
The event was well organized

Provide two ways in which your practice will change as a result of attending this program?
What was the most effective part of the program? Why?
Do you have any suggestions for future conference topics or presentations?
Do you have any feedback for any of our presenters?
Do you have any feedback about the overall conference, the venue or comments for the Conference Planning Committee?
Please indicate your discipline:

Other
Please indicate which roles you felt were addressed during this activity for CanMEDS-FM (physicians only)

Other
How did you hear about our event?

Other

Learning Activity Design and Format

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The format and design of the learning activities (e.g.,lectures, discussions, hands- on practice) were effective in enhancing my learning.

Facilitation and Delivery

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Presenters were effective for delivering the content and engaging participants.
The format was effective for delivering the content and engaging participants.

Self-Reported Learning

Rows	Significant Improvement	Moderate Improvement	Slight Improvement	Confirmed I am doing the right thing	N/A
How would you rate the change in your knowledge/competence/skills after completing this program?

Confidence in Achieving Learning Objectives

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Describe current treatment approaches to co-occurring mental health conditions in a range of substance use disorders.
Employ new skills for addressing co-morbidities in the setting of addiction.
Compare innovative, best practice treatments for substance use in special populations.

Program Content and Bias

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The program content effectively incorporated concepts of EDI.

Were there any aspects of the program's content or delivery that appeared biased to you (e.g., financial, sponsor-related, cultural, gender, racial, or others)?
Please briefly explain.
Please indicate your primary practice setting:

Other
Please indicate if you self-identify with any of the following (select all that apply):

Another identity not listed (please specify if comfortable)
Please verify that you are human
Should be Empty:

Your overall evaluation regarding the quality of the Western Canada Addiction Forum