Skip survey header

2018 Peer Review Evaluation Medical

Midwest Regional CAC Medical Peer Review Evaluation Form

1. Please provide your professional credentials (select all that apply): *This question is required.

Click on the calendar icon to the right of the text box to select the date

or manually type in the date with this format - MM/DD/YYYY
This question requires a valid date format of MM/DD/YYYY.
calendar
3. Did you complete this evaluation as: *This question is required.
5. Please rate the presenting site today re: their preparedness to present, including were their photo/videodocumentation sufficient to offer feedback? *This question is required.
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
6. When the case was finished, was there enough time for presenter to receive feedback? *This question is required.
7. Did today's presentation increase your knowledge or provide you with helpful tips? *This question is required.
9. Was the moderator for your call effective on today's peer review call? *This question is required.
10. Please rank your level of satisfaction with today's peer review call. *This question is required.
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied