Counseling Points - November 2008 - (Page 15)

Fax form to (201) 612-8282 EVALUATION FORM Counseling Points™ Quality of Life and Treatment Options in Rheumatoid Arthritis Using the scale provided, Excellent = 5 and Poor = 1, please complete the program evaluation so that we may continue to provide you with high quality educational programming. Please fax this form to (201)612-8282. 5 = Excellent 4 = Good 3 = Satisfactory 2 = Fair 1 = Poor To what extent were the following objectives satisfied? 1. Describe the benefits of early intervention and its impact on patient quality of life 5 4 3 2 1 2. Discuss selection of appropriate medication regimens for each patient with rheumatoid arthritis (RA). 5 4 3 2 1 3. Review methods to identify and manage treatment nonresponders 5 4 3 2 1 To what extent was the content well-organized? 4. Describe the benefits of early intervention and its impact on patient quality of life 5 4 3 2 1 5. Discuss selection of appropriate medication regimens for each patient with rheumatoid arthritis (RA). 5 4 3 2 1 6. Review methods to identify and manage treatment nonresponders. 5 4 3 2 1 To what extent was the content easily understandable? 7. Describe the benefits of early intervention and its impact on patient quality of life 5 4 3 2 1 8. Discuss selection of appropriate medication regimens for each patient with rheumatoid arthritis (RA). 5 4 3 2 1 9. Review methods to identify and manage treatment nonresponders. 5 4 3 2 1 General Comments 10.The topic was current and relevant to my area of professional interest. 5 4 3 2 1 11.The program was free of commercial bias. 5 4 3 2 1 12.The program increased my awareness and understanding of the subject matter 5 4 3 2 1 13.As a result of this continuing education activity (check only one): Ì I will modify my practice. Ì I will wait for more information before modifying my practice. Ì The program reinforces my current practice. Suggestions for future topics/additional comments: Follow-up As part of our continuous quality improvement effort, we conduct postactivity follow-up surveys to assess the impact of our educational interventions on professional practice. Check one: Ì Yes, I would be interested in participating in a follow-up survey. Ì No, I would not be interested in participating in a follow-up survey. There is no fee for this educational activity. Posttest Answer Key 1 2 3 4 5 6 7 8 9 10 Request for Credit (Please print clearly) Name Degree Organization Specialty Address City State ZIP Phone Fax E-mail Signature Date Fax form to (201) 612-8282 15 NOVEMBER 2008

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Counseling Points - November 2008 Welcome Quality of Life and Treatment Options in Rheumatoid Arthritis Counseling Points

Counseling Points - November 2008

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