Page 1 of 2

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 membership@examine.com.

Please fill out this form and tap "Submit". A copy of this form will be sent to your inbox from notifications@forms.examine.com.

Email

Full name

What is your profession?

Provider: Examine

Name of Activity: (e.g. Study Summaries: January 2024)

Date completed:

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

Did the activity meet the stated learning objectives?

Yes

Was the activity relevant to professional dietetics practice?

Yes

Was the activity content valid?

Yes

Was the activity free of marketing and commercialism?

Yes

Did the activity present a balanced perspective?

Yes

Overall, were you satisfied with the activity?

Yes

If you selected 'No' for any of the above, please explain:

CDR credentialed practitioners may share information regarding the quality of this CPE activity or any CDR prior approved activity with CDR staff by submitting the CDR CPEU Prior Approval Activity Complaint form on CDR’s website.

Please describe any other noteworthy attributes of the CPE activity

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

Share the information / collaborate with colleagues

Review supplementary information to support or expand your learning

Seek additional CPE activities related to the topic

Alter the methods in which you care for patients / clients / customers

No action

Other (describe)