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CPD Activity Feedback Form
CPD Activity
*
Optometry Education Evening (Webinar)
Feedback
Was this activity relevant to your practice/work/study?
*
No
Partially
Yes
To what extent were the stated Learning Objectives met?
*
Not met
Partially met
Entirely met
To what extent were your personal Learning Needs met?
*
Not met
Partially met
Entirely met
Please rate the following:
Presenter/s knowledge of topics
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Content of presentation
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Delivery of presentation
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Are you interested in attending future CPD Activities held by this Provider?
*
Yes
No
What topics would you like discussed at future sessions?
*
Any additional comments/feedback?
Contact Details (optional)
Name
First Name
Last Name
Phone
Email
Thank you for your feedback!
