JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Safe and Timely Opening of Endoscopy Unit
Please complete this survey to allow us to further improve on our efforts.
Please also complete in order to receive CME points.
* Indicates required question
Email
*
Your email
Please write your name (First Last, degree).
*
Your answer
Please identify your profession
Choose
Gastroenterologist/Hepatologist
Gastroenterology Nurse
Gastroenterology Staff
Surgeon
Other physician
Fellow trainee
Resident trainee
Others
Age
Your answer
What is your gender
Choose
Man
Woman
Speaker presented information in a clear and organized manner
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Moderators organized the session in a clear and organized manner
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
The content presented was relevant
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Cases were given to facilitate my understanding
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
I will apply the presented information in the following ways (100 words are required to receive CME, should it be granted)
*
Your answer
What I liked about the course
Your answer
Suggestions to improve the course
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
