CMS-10613 LAN Summit Session Evaluation Form

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

CMS-10613 GenIC8 Instrument - LAN Summit Session Eval Form

LAN Documents (CMS-10612, CMS-10613 and CMS-10614)

OMB: 0938-1297

Document [pdf]
Download: pdf | pdf
LAN Summit Session Evaluation Form
Choose Session

* Which session would you like to evaluate?
Welcome and Opening Remarks
Plenary
Breakout 1
Breakout 2
Keynote Address
Breakout 3
Final Remarks and Closing

Session # _______

How useful did you find the topic?
Very Useful

Moderately Useful

Not at All Useful

Usefulness of Topic

What was the most valuable content provided in this session?

What was the least valuable content provided in this session?

Presentation Content (please rate each speaker)
Very Helpful

Moderately Helpful

Somewhat Helpful

Missed Target

N/A

Very Strong

Moderately Strong

Somewhat Strong

Missed Target

N/A

Name of Speaker/Panel
Member
Name of Speaker/Panel
Member
Name of Speaker/Panel
Member

Presentation Delivery

Name of Speaker/Panel
Member
Name of Speaker/Panel
Member
Name of Speaker/Panel
Member

Please provide any other comments or suggestions regarding this session.


File Typeapplication/pdf
File TitleView Survey
File Modified2016-02-10
File Created2016-02-10

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