Opioid Self Assessment Package
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Evaluation Form
UHN Collaboration Survey
Full Name (First and Last Name)
*
This was relevant to my practice
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clarity of Content
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clarity of the evaluation questions
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Thoroughness of content
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Ability to assess knowledge
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Stated Objectives were achieved
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Were there any identification of bias?
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Was there any potential conflict of interest?
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What I liked most
*
What I liked least
*
Suggestions for course improvement
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Study Information
Evaluation Form
UHN Collaboration Survey