PFL PPE Review Eval and Cert

Project Firstline

PPE Review

Online Enduring Evaluation

Please complete all the required fields BEFORE downloading the certificate.

How much did your knowledge increase since participating in this CME activity?*

Not at all/my knowledge level stayed the sameSlightlySomewhatVery Much

How much did your skill level increase since participating in this CME activity*

Not at all / my skill level stayed the sameSlightlySomewhatVery much

Following this CME activity, how will you act to change your practice?*

Implement new information or skills into my practiceSeek additional informationDo nothing, as my practice reflects recommendations based on this activityDo nothing, system barriers prevent me from making changes in my practiceOther

This activity avoided commercial bias or influence (if no, please use the comment box to provide detailed feedback)*

YesNo

Comments:

This CME activity included or reflected diversity (e.g. racial/ethnic, gender, sexual orientation or gender identity diversity).*

YesNoNot applicableOther

Part II: Attestation and Contact Information

UPDATE AMOUNT OF CREDIT OFFERED By checking the box below, I attest to participating in this CME course in its entirety and will claim 1.00 AMA PRA Category 1 Credit. :*

I have participated in this Course and earned 1.00 AMA PRA Category 1 Credit..

Name*

First NameLast Name

Credentials

Address*

Street Address

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CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number

Area CodePhone Number

Please download and save this certificate for your records. This certificate will also be emailed to you. *