CME / CEU Content Questionnaire
Tell us more about your CME interests, and we'll help design your program.
Email *
What is the overall topic you want to present? *
If you are Unsure, type the biggest category you can think of, or Unsure.
What format are you thinking for your CME? *
Choose all that Apply.
Required
Are you thinking of one presentation or a series?
Clear selection
How many total hours of Activity are you considering?
One hour-long training is considered 1 CME credit.
Who is your target audience for this CME? *
Check all that apply
Required
How many presenters will there be in total?
Your Activity is based on what kind of GAP there is between current practice and ideal practice.  Does your Activity address....................
Choose all that apply
Describe the GAPS you are filling with your Activity.  What is it your audience doesn't know, is not able to do, or doesn't do it?  
Your Activity will close this GAP.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of gotohealthmedia.com. Report Abuse
Google Forms