Survey: On-site Breast Imaging Bootcamp (Hands-on Workshop Only)

Evaluation for On-site Breast Imaging Bootcamp (Hands-on Workshop Only)

Evaluation Form - On-site Bootcamp (Hands-on Workshop Only)

Step 1 of 2 - Survey

Please take a moment to complete the evaluation of the CE activity and the presenter. Upon submission of this survey, your certificate will be sent to the email address provided on the following page.*

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Presenter delivered the content in a clear and organized manner.
Presenter held the attention of the audience.
Content presented was relevant to my profession.
Learning objectives were covered according to the activity description.
Overall, the presenter and activity content met my expectations.

Name*
Enter your name as you would like it to appear on your certificate.
First Last
Name of Facility*
Email*
Please enter the email address your certificate will be sent to. (We highly suggest using a personal email address as work servers sometimes block this email.)
Enter Email Confirm Email
Date of Birth*
Month
Day
Year
City*

Enter the city where you attended the lecture (Example: San Diego)
State*

Enter the state abbreviation where you attended the lecture (Example: CA)
Date of Lecture*
Month
Day
Year

Enter the date that you attended the lecture and demonstration
We welcome any comments or feedback you may have. Please leave them below.
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