Sample Participant Evaluation Form Page 2

FACULTY

12. Faculty communicated clearly and effectively within the allotted time:

13. I recommend the following speaker(s) for your consideration in future planning:

____________________________________________________________________

Comments regarding faculty:

____________________________________________________________________

Name: (optional) ______

(Please Print)

Please turn in this completed evaluation at the

end of the meeting to staff at the registration

desk. Your answers will be kept confidential.

Thank you.

NOTE: You will receive a request from AANS to participate in a follow-up survey at the

start of the new year as to what changes you made in your practice as a result of

participating in this CME activity and/or what barriers prevented you from making the

changes in your practice.

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Parent category: Business