Conference Evaluation Form
Conference Roadmap

Select your participation type...
Physician Assistant
Nurse Practitioner
Student
Exhibitor
Speaker

What suggestions/feedback do you have to
improve the conference?



< What other health care/professional
topics would you like to see presented?



The Overall Program Goal is...
"To provide a variety of speakers
and topics that are current and
relevant to Advanced Practice Clinicians
and that will allow them to increase
their knowledge and improve their
clinical practice."

Please let us know the following...

"I think the overall purpose/goal for
this activity was met."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

At least 2 new concepts I learned
and how I will apply them to my practice.



"This activity was worthwhile for
my professional practice."

Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

"As a health care provider, this activity
will enhance my knowledge/skill."

Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

As a result of this activity,
please share at least one action
you will take to change your
professional practice/performance.



Any other thoughts or comments you have...




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