Pediatric Education Hour – Evaluation

Company

This field is for validation purposes and should be left unchanged.

Evaluator's name

Hospital Site(Required)

Department(Required)

Presenter's name(Required)

Presentation Topic(Required)

Date(Required)

Please select the group that best reflects you(Required)

How did you attend the rounds?(Required)

Please select the number that reflects your assessment for each of the following. 1= strongly disagree / 5= strongly agree(Required)

	1	2	3	4	5
Objectives were stated clearly
Presented clinically relevant information
Highlighted key points – take home message
Stimulated questions, responses, and discussion
Appropriate use of audio visual aids
Overall presentation was relevant
The presentation will help you improve or change your practice

Did you perceive any industry bias?(Required)

Yes

General comments, and feedback for improving Pediatric Education Hour(Required)

Topics you would like to see incorporated in the future(Required)