Evaluation – Immune Dysfunction in Multiple Sclerosis

ACTIVITY EVALUATION/ATTESTATION

Immune Dysfunction in Multiple Sclerosis: Modern Considerations in Treatment and Management
Q&A WITH EXPERTS ON IMMUNE DYSFUNCTION IN MULTIPLE SCLEROSIS

Please complete the following evaluation questions to receive your credit certificate.
Items marked with * require a response.

FACULTY EVALUATION

LEARNING OBJECTIVES

Please rate the following objectives to indicate if you are better able to:

Please select the extent to which you agree/disagree with the following statements:

Please rate the projected impact of this activity on your knowledge, competence, and performance:

I feel more confident in:

Other comments:

This activity will improve my performance in practice*

Yes
No

If yes, please describe:

Will you attempt to address these barriers in order to implement changes in your competence, performance, and/or patients’ outcomes?*

Yes
No
N/A

If no, why not?*

EDUCATIONAL NEEDS

What areas of need in your practice would you like to see offered in future educational activities sponsored by the Consortium of MS Centers?*

General Comments:*

ABSENCE OF COMMERCIAL BIAS, SCIENTIFIC OBJECTIVITY, AND FAIR BALANCE

CMSC educators strive to ensure that any educational activity offered for credit meets all requirements of the Standards for Commercial Support. Toward that end, please tell us about your experience in this activity:

Please fill out the required information below for claiming credit

Your certificate will be emailed to the address you enter below.

Attestation Confirmation*

I attest that I participated in the entire activity and claim 0.25 credits.

Which Certificate Are You Registering For?*

Name*

First Last Degree

Organization

Specialty*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Fax Number

Email Address (required - your certificate will be sent here)*

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