Program Evaluation Form

Please complete this evaluation form to obtain a CE certificate for the selected event.

Please select the Learning Collaborative you would like to evaluate.
	Comprehensive Medication Management for Patients with Mental Illness in Primary Care

1.	The content included in the presentation was informative and valuable.
	Strongly Disagree Disagree Not Sure Agree Strongly Agree

2.	The invited presenter delivered the information and responded to questions effectively.
	Strongly Disagree Disagree Not Sure Agree Strongly Agree

3.	The question and answer segment following the main presentation was informative and valuable.
	Strongly Disagree Disagree Not Sure Agree Strongly Agree

4.	I learned new information that I can apply in my work.
	Strongly Disagree Disagree Not Sure Agree Strongly Agree

5.	Overall, this event was a good use of my time.
	Strongly Disagree Disagree Not Sure Agree Strongly Agree

6.	I would recommend this presentation to my colleagues in population health improvement.
	Strongly Disagree Disagree Not Sure Agree Strongly Agree

7.	I have joined the HealthSciences Institute LinkedIn community to receive additional information and participate in discussion online.
	Yes No

8.	Which topics would you like to learn more about or discuss in future learning collaborative meetings?

9.	How could these presentations or events be more valuable for you and your colleagues?

10.	Which additional benefits or resources would you value as a member of this community?

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Population Health Improvement (PHI) Learning Collaborative

Please complete the form below to generate your continuing education certificate for this presentation.

Name
Degree or license (enter up to two )
Job Title
Email
Organization