1 Start 2 Complete Were the overall objectives for this program met? * Yes No Somewhat Please explain why you selected this answer. * As a result of what you learned from participating in this educational activity, do you intend to make practice/performance changes that you believe will result in more positive patient outcomes? * Yes No Undecided Please explain why you selected this answer. * Please indicate one or two changes you plan to implement: * How confident are you that you will be able to make these intended changes? * Very Somewhat Neutral Not very Not at all Please indicate one or two new skills/concepts you learned as a result of your participation in this educational activity * The information presented (select all that apply): * Reinforced what I already knew Provided me with new knowledge Provided skills and strategies to implement changes Provided practical information/tools/resources Will help me improve the quality of care in my practice SHEA strives to present programs that are independent, balanced, objective, and scientifically rigorous. Do you believe this program met this objective? * Yes No Please provide more information: * Please indicate which session(s) you attended for the live broadcast. * If you attended the live broadcast of one or more sessions, you may be eligible to claim credit. (If eligible, you will be able to complete the credit claim form after submitting this evaluation. Please note that credit must be claimed within 30 days following the live date of the final session). Session 1: title (month/day/year) Session 2: title (month/day/year) I did not attend any live sessions Are you claiming pharmacy credit? * Yes No NABP ePID number: * Please enter your NABP ePID number (4-7 digits). Date of Birth: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Leave this field blank
