Evaluation Sample for Mckenna Consults

1. American Board of Internal Medicine Customer Service Department Training Program
COURSE EVALUATION
Instructions: Please take about ten minutes to complete this survey. Your feedback will help us provide
excellent training to our participants and make the necessary improvements. Thank you in advance for
your participation.
Date: ___________________
Name of Course (circle one):
ABIM Overview | Certification Topics | DS Systems I | MOC Concepts | Part 4 – Practice Assessment
Products | Part 4-Programs | Part 2 | More Continuous MOC | Performance, Professionalism and
Confidentiality | DS Systems II | Email Construction I | Call Simulation | Coaching- Call Simulation |
Other: ________________
Using the scale below answer the following questions:
Strongly Disagree Strongly Agree
1 5
1. This course met the stated objectives
2. This course met my expectations
3. To what extent do you feel you’ve learned from this program
4. The method of presentation (i.e., activities, e-learning modules, games, discussion) enhanced my
learning experience
5. The resource materials (i.e., training manual, handouts) for this course were helpful
6. The training environment was conducive to learning
7. The program was presented at an appropriate pace conducive to learning
8. The facilitator presented the material with knowledge and clarity
9. The facilitator provided adequate and helpful feedback
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2. American Board of Internal Medicine Customer Service Department Training Program
COURSE EVALUATION
Instructions: Using the scale below rate your comprehension of each topic discussed (as it applies):
Comfort Level Least Somewhat Most
Scale 1 2 3 4 5 N/A
Internal Medicine Certification
Policies and Procedures
Subspecialty Certification Policies
and Procedures
Joint Exams
Registering for a Certification
Exam
New Candidates for Certification
Exam Day Call Log
Eligibility Files
Certification Exam fees
Certification Cancellation/Refund
Policy
Payment options
Call handling and transfer guide
Maintenance of Certification
Policies and Procedures
Society products
CME Credit
Enrollment in the MOC program
MOC Enrollment and Exam fees
MOC Cancellation fees
Medical Knowledge Modules
Practice Improvement Modules
FPHM Program
ADA Accommodations
Medical Simulations
Learning Sessions
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3. American Board of Internal Medicine Customer Service Department Training Program
COURSE EVALUATION
Would you like to comment on any strengths or weaknesses of the course?
Additional Comments:
Thank you for your feedback!
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