This evaluation form is for the following class:

1. Class One    2. Class Two    3. Class Three

4. Class Four    5. Class Five    6. Class Six

7. Class Seven    8. Class Eight    9. Class Nine

10. Class Ten

Please answer the following questions according to the following scale:

Strongly Agree                            Strongly Disagree

                1         2          3           4          5  

    _________________________________________________

1. The activity helped to extend and/or update my knowledge base.

   1.    2.    3.    4.    5.
   

2. The activity will influence my practice.

   1.    2.   3.    4.    5.
   

3. The objectives of the activity were met.

   1.    2.    3.    4.    5.
   

4. The activity gave me some new ideas.

   1.    2.    3.    4.    5.
   

5. The activity met its objectives.

   1.    2.    3.    4.   5.
   

6. I would recommend this activity to my peers.

   1.    2.    3.    4.    5.
   

7. There was no commercial bias in the activity.

   1.    2.    3.    4.    5.

Comments:

  8.   Optional: Please provide the following contact information: