Fit Family Challenge e-Learning Patient-Centered Counseling Modules
Scale: 5-Great, 4-Good, 3-Average, 2-Poor, 1-Unsatisfactory
Title
Value
Knowledge Gained
Speaker Effectiveness
Module 1: Patient-Centered
Counseling Techniques
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
5–4–3–2–1
Comments & Suggestions:
Module 2: Patient-Centered
Counseling and the Fit
Family Challenge
Comments & Suggestions:
Module 3: PatientCentered Counseling and
the Fit Family Challenge
Comments & Suggestions:
Satisfaction
Organization of the Meeting
5–4–3–2–1
Content of Meeting
5–4–3–2–1
Food & Beverages
5–4–3–2–1
Overall Value of Meeting
5–4–3–2–1
Comments
Did you perceive any commercial bias from this presentation? Yes or No If yes, please explain
Did the presentation provide a fair balance of therapeutic options? Yes or No If yes, please explain
1
What did you like best about this meeting?
What did you like least?
Additional comments
Thank you for your feedback! Have a great weekend 
2