TIES Evaluation 9/1/16 – 9/1/17

First and Last Name (This is the name that will appear on your CME Certificate)
This is the date that will be populated on your certificate.

Please rate whether the following objectives of the program were met:

On a scale of 1-5, with 1 being Strongly Disagree and 5 being Strongly Agree, please rate the following statements.

If yes to the previous question: