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TB & HIV: An Online Course for Clinicians

Course Evaluation

Please take a moment to assist us in the design and development of future on-line courses by answering a few questions about your experience with this course and about yourself. Any information that you provide will be kept confidential.

The fields identified by * are mandatory for obtaining the CE Exam certificate.

Please Tell Us About the Course
1. This course stimulated and maintained my interest:

2. This on-line course met its objectives:

3. The topics were comprehensively covered:

4. Layout of content was logical:

5. Navigation was clear:

6. Graphics and x-rays added to my understanding of content:

7. I plan to make changes to my practice, based on information from this course:

8. Credit was an important reason for taking this course:

9. Internet technology was an effective way to learn this material:

10. Do you have any comments about this course:

Please Tell Us About Yourself
  Email:
(An acknowledgement of course completion will be sent to this address)

  First Name:
  Middle Name or Initial:
  Last Name:
  Phone Number:
  Fax Number:
  Street Address1:
  Street Address2:
  City:
  State / Province:
  Zip / Postal Code:
  Country:
  Education Level:
  Do you have a US License?
(Must have a US License for CE Credit)
  License Number:
(If no license, enter none)
  Degree:
  Other Degree:
Please Tell Us About Your Organization
  Organization Name:
  Organization Type:
  Position: