CSI Focus D-HF 2021 on 10-11.12.2021 EBAC Evaluation Form

Dear participant,

Thank you for attending the CSI Focus D-HF congress on December 10-11, 2021.

The congress is accredited by the European Board for Accreditation in Continuing Education for Health Professionals (EBAC) for a maximum of 16 European CME credits (ECMEC®s).

Please keep in mind that due to rules and regulations we can provide your CME credits and certificate only if you have filled in the evaluation form by December 26, 2021.

The certificate of attendance will be sent to you by e-mail after this deadline.

Best regards,

CSI Organization team

Question Title

* 1. I am a ....

Adult interventional cardiologist

Pedriatric interventional cardiologist

Heart failure specialist

Imaging specialist

Cardiothoracic surgeon

Anaesthesiologist

Radiologist

Fellow

Nurse / Technician / Nurse practitioner / Physician resident

Industry employee

Other

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* 2. In my daily practice I have to deal with the issues addressed in this presentation

very often

frequently

rarely

never

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* 3. Regarding the issues dealt with this event I am, in my daily practice,...(select one)

able to decide and execute on my own

dependent on the decisions of others, which I then execute

only discussing therapeutic alternatives with those, who decide and execute

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* 4. I have already visited a similar event before

Yes

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* 5. Has the title of the event been....

too specific

just right

too general

too specific

just right

too general

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* 6. Did the content match your expectations raised by the title of the event?

not at all

Yes, fully

not at all

Yes, fully

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* 7. Has the duration of the event/presentation been adequate in relation to the content presented?

too short

just right

too long

too short

just right

too long

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* 8. Please give an estimate for the relation of time for discussion to length of presentation: (select one)

>50%

50%

30%

25%

20%

<10%

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* 9. Total amount of time for discussion has been..

too short

just right

too long

too short

just right

too long

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* 10. The answers of the speaker(s) during the discussion were straight to the point?

No, not at all

Yes, perfect

No, not at all

Yes, perfect

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* 11. Do you think that the educational effectivity of the event could have been increased by increasing the length of presentations ?

Yes

Not sure

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* 12. .....increasing the lenght of time for discussion

Yes

Not sure

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* 13. ...increasing interactivity during the presentation:

Yes

Not sure

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* 14. ...use of different didactic methods:

Yes

Not sure

If yes, please specify (which methods):

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* 15. Did you recognize any influence of the sponsor(s) on the content of the presentation?

Weak influence

Strong influence

Yes

Weak influence

Strong influence

Yes

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* 16. Did you recognize any influence of the sponsor(s) on the content of the discussion?

Weak influence

Strong influence

Yes

Weak influence

Strong influence

Yes

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* 17. If the same event is offered again in the near future, would you recommend participation to your colleagues and friends?

Yes

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* 18. To attend this event I have...

been delegated by my hospital/department

taken the initiative on my own

been invited by industry

other

Other (please specify)

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* 19. Your feedback and comments

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* 20. Please enter your contact information correctly, so we can send you your certificate after the deadline of completing the form.

Title

First name

Last name

Hospital/Company/Institution

Country

Email Address

Full name to be included on the certificte

Question Title

* 21. Please select the certificate of attendance you would like to receive.

EBAC Certificate for PHYSICIANS

EBAC Certificate for NON-PHYSICIANS