82 Barrie Street, Kingston, Ontario, Canada K7L 3N6
Phone: 613-533-2540     Fax: 613-533-6642

Evaluation: Radiographic Examination of the Carpal Bones

Please print this, complete it, attach your payment of $50 and either fax it to 613-533-6642 or mail it to the address above.

    Name:

  1. Were the learning objectives realistic? yes     no

    If not, why not? Comments:

  2. Were the learning objectives met?    yes     no

    Comments:

  3. As a result of the program, will you be better at interpreting carpal bone x-rays?

    yes     no

    Comments:

  4. Do you think this online CME program offered effective educational value?

    yes     no

    Comments:

  5. Do online CME programs create barriers to the learning process? yes     no

    Comments:

  6. In your opinion, does this online CME program provide equivalent educational value as compared to traditional classroom based CME? yes     no

    Comments:

  7. What kind of connection did you use to access this program?

    High-speed connection     Modem     Cable modem     Office LAN


    If you connected by modem, what speed? not applicable     28.8K     56.6K     faster than 56.6K

  8. Did you have any difficulty running the program from your location?

    yes     no

    Comments:

  9. What other CME programs would you like to see offered online?

  10. Further comments/suggestions

    Comments:

    Thank you for helping us improve the delivery of our online programs by completing this evaluation.

    Course Fee
    Please enclose the fee of $50 with this evaluation. If you pay by credit card, it may be submitted by fax - please fill out the information below. If paying by cheque, please mail the evaluation form and cheque, made out to Queen's University, to the address at the top of this form.

    Fee: $50.00         Method of payment:        cheque         credit card

    If paying with credit card, please complete the following:   Visa     Mastercard

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    Expiry date:

    Amount:

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