Is It Just "Culture" or 'Just Culture'?
Continuing Education Attestation Form - Certificate of Completion
Continuing Education Attestation Form - Certificate of Completion
Are you submitting attestation for Certificate of Completion?
*
Date of Event
*
mm/dd/yyyy
First Name
*
Last Name
*
Facility Type
*
Address
*
City/State
*
Email
*
The speaker(s) presentations were clear and well organized.
*
The topic of today's session is applicable to my work and will help me improve my performance.
*
The program objectives/outcomes were addressed.
*
Did this presentation increase your knowledge of the topic?
*
Comments about overall presentation?
Describe any "pearl" or takeaway messages.
Given the scope your practice, what educational needs do you have?
*
Send me a copy of my responses
Submit
Powered by
Privacy Policy
Report Abuse