Fall Symposium 2021 - Module 1 (Sept 28) Evaluation Thank you for completing this form, to help CAMAP improve this program and meet the requirements of CFPC and the Royal College. If you would like a CPD certificate for your records, please make sure you include your first and last name and email address. The certificate will be emailed after you submit the form.Name (required if you would like a CPD certificate) First Last Email address Please enter your email address if you'd like us to send you a CME certificate.1. Please tell us what your role is(Required) Family Physician Nurse Practitioner Specialist Other clinician Non clinician 2. What is your role in the delivery of MAiD?(Required) Assessor Provider I do both assessing and provision I do neither role 3. What changes will you be making as a result of this module?4. What part of this module did you find the most effective? 5. What part did you find the least effective? 6. For this module, we tried something new for the Q&A process in that everyone could see all the questions and participants could vote for the ones they wanted answered. Did you like this feature? Yes No I didn't understand how it worked I am neutral about it 7. Was there adequate time for discussion?(Required) Yes No 8. Did the speakers disclose their respective Conflicts of Interests?(Required) Yes No 9. Did you perceive any degree of bias in this program?(Required) Yes No 10. If you answered "yes" to the question above, please explain the bias you perceived 11. For participants from Quebec, does the content respect the Code of Ethics of the CQDPCM (http://cqdpcm.ca/tool/code-dethique/)?(Required) Yes No Not applicable as I do not live / work in Quebec 12. Please indicate which of the CanMEDS-FM Roles you feel were addressed by your participation in the Webinar. Please select all that apply. (This question is required by CFPC; if you are not a family physician, you can note that below).(Required) I am not a family physician Family medicine expert Communicator Collaborator Leader Health Advocate Scholar Professional 13. What additional training would you like on this topic?Thank you for completing this evaluation form!