National MAiD Coordinator’s Meeting

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. The certificate will be emailed to you after the conference.

Name (required if you would like a CPD certificate; optional otherwise)

First Last

Email address (also required if you would like a certificate; optional otherwise)

1. Please tell us about your professional role in MAiD services.(Required)

2. What is your designation?(Required)

3. Did the speaker(s) disclose their respective Conflicts of Interests?(Required)

Yes

4. Please rate the overall session:(Required)

Poor	Good	Strong	Not Applicable / Don't Remember

5. Please rate the speakers:(Required)

6. Please rate the activity (Constellation mapping of MAiD Coordination):(Required)

Poor	Good	Strong	Not Applicable / Don't Remember

7. This program enhanced my knowledge.(Required)

8. The learning objectives were met.(Required)

9. What learning will you integrate into your practice?(Required)

10. What part of this program did you find the most effective?(Required)

11. What part of this program was the least effective for you?(Required)

12. Did you feel there was adequate time for discussion?(Required)

Yes

13. Did you perceive any degree of bias in this program?(Required)

Yes

13b. If you answered "yes" to the question above, please describe the bias you perceived

14. Please indicate which of the CanMEDS-FM roles you feel were addressed by your participation in this event. Please select all that apply. (This question is required by the CFPC; so if you are not a family physician, just select that option below).(Required)

15. What additional training would you want to see at future CAMAP events (on today's event or any other) in relation to the delivery of MAiD?

16. Anything else you'd like to share?

MAiD 2023 Evaluation: National MAiD Coordinator's Meeting

Thank you for completing this evaluation form! Your CPD certificate will be issued after the conference.