Page 1 of 3 RSS CME Evaluation Survey (Title of the Activity and number) (Date)(Specific Session Name) (Presenter's name) Please complete this evaluation form. The results will aid the department in assessing and planning its RSS activities, and assist BCM in fulfilling its CME mission in compliance with ACCME accreditation requirements. Thank you for your valuable input. What is your primary professional category/degree? MD/DO—in practice MD/DO—Resident/Fellow Pharmacist Advanced Practice Provider (e.g., PA, CRNA, NP) Nurse (e.g., RN, LVN) PhD/PsyD/EdD/DrPH Allied Health Social Worker Other Leave this field blank
