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CPE Evaluation Form

CDR requires that Examine utilize evaluations to promote quality improvement in CPE activities. Completing this evaluation assists Examine, learners, and CDR.
For assistance, please contact [email protected].
RDs and DTRs may share information with CDR staff regarding the quality of this CDR CPEU Prior Approved Activity by emailing [email protected].
Please fill out this form and tap "Submit". A copy of this form will be sent to your inbox from [email protected].

Email

Full name

Provider: Examine

Select Yes or No to describe attributes of the Continuing Professional Education:

Utilized best available research evidence
Included ample peer-reviewed references to substantiate content
Expertise of Provider / presenter contributed to content quality
Target audience was appropriate
Met educational needs and / or addressed practice gaps
Included practical information for implementing changes to practice
Provided a balanced perspective / stated benefits and shortcomings

Please describe any other noteworthy attributes of the CPE activity

Select Yes or No to describe if the CPE activity enhanced knowledge, skills, and behaviors as described in CDR’s Essential Practice Competencies for Ethics or Health Equity:

Included materials and content which emphasized and included diverse representation in the learning group
Included a focus on differences that may vary within and between patient / client populations
Established an environment or facilitated interactions which encouraged and respected diverse and divergent experiences and viewpoints
Encouraged reflection on bias and privilege and the promotion of personal growth.
Encouraged and respected diverse and divergent experiences and viewpoints

Select Yes or No or No Answer to describe the language in the materials / presentation:

Free of bias
Non-discriminatory
Inclusive
Conscious of honoring how individuals choose to identify themselves
Free of microaggressions
Untitled checkboxes field

As a result of the education do you plan to: (select all that apply)

As a result of the education do you plan to: (select all that apply)

Any additional comments?