Evaluation Form

Please fill out this evaluation, once submitted you will have the option to print and save your CME certificate.

First Name: * Last Name: * *

Email: *

After attending the Tri Cities Pain Conference,
what specific changes do you plan on implementing because of this conference?

Please list topics that you would like at future conferences.
Topics that would help increase your competency, performance, or patient outcomes.

Please identify two educational problems that you have seen in your medical community.

Any feedback on any of the presenters?

Other Comments: :

Thank you for coming!