Post-Course Evaluation Form
Thank you for completing the Longevity Medicine Course!
Please take a few moments to complete the Post-Course Evaluation below.
All questions are required.
You must complete this evaluation in order to receive the CME Course Credits and Course Certificate.

Sign in to Google to save your progress. Learn more
Today’s date: *
MM
/
DD
/
YYYY
Name: (Required) *
Country and City: (Rrequired) *
Job title: *
Institution: *
Organisation: *
E-mail: *
Linkedin
Course title : *

1. Please rate the overall value of the Introduction to Longevity Medicine course: 

 *

2. How much information from the course did you start using during your daily work? 

 *

3. Rate your competence to perform new skills(s) and/or apply new knowledge based on the learning provided in this course: 

 *

4. Did the course improve your ability to answer these questions and explain the current state of the industry? 

 *

5. Related to the information provided in the course, select the appropriate responses: (one or more) 

 *
Required

6. Do you often have patients asking about the topics discussed in the course? 

 *

7. As a result of my participation, the most likely change / new strategy I will implement in my practice is: (select all that apply) 

 *
Required

8. Did you perceive any commercial bias or influence? 

 *

9. If you did perceive any commercial bias or influence ("yes" to #8 above), please briefly explain why. If you chose "no", please type "N/A": 

 *

10. What content was omitted that you wish had been included? (if none, please type "NONE") 

 *

11. Is there anything else you wish to tell us? 

 *

(This applies if question No.11 was answered) Do You allow us to use Your quote in marketing purposes in the official Longevity Medicine web page? 

 *
One more thing: How did you hear about us? (If neither way You found us is listed please specify which e.g.ARDD Conference*) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms