SLHS Continuing Medical Education Evaluation & Credit Claim

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Continuing Medical Education Evaluation & Credit Claim
Which activity did you attend?*
Date of activity*

MonthDayYear
Date
Do you want to evaluate and claim credit for another activity?

YesNo
Which activity did you attend?
Date of activity

MonthDayYear
Date
Do you want to evaluate and claim credit for another activity?

YesNo
Which activity did you attend?
Date of activity

MonthDayYear
Date

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The speaker(s) were effective at presenting the content
The information presented is relevant to my clinical practice
This activity will improve my ability to care for patients
This activity will improve patient outcomes
This activity increased my competence of the subject matter
The educational format was appropriate for the setting, objectives, and desired results of this activity

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