Program Evaluation 1234 This is the evaluation form for RTs to claim Category A credits. Your feedback is very important to the program director. You will receive your certificate(s) as a PDF attachment via email within two (2) weeks of submission. The subject line will be "CDM 2018 Certificate". Name and degrees/credentials*Please enter your name exactly as you would like it to appear on your certificate, including degrees and/or credentials. Your evaluation answers will be kept strictly confidential. Name and degrees/credentials Email Address*You will receive your certificate as a PDF attachment via email from Promedica International within two (2) weeks of submission. The subject line will be "CDM 2018 Certificate". Enter Email Confirm Email Identifier*Please enter one of the following numbers: 1) ASRT Member ID, 2) ARRT number, 3) state license number, 4) last four of SSN. Identify what type of number in the field below. Type of Identifier Entered Above*ASRT Member IDARRT NumberState License NumberLast 4 of SSN Overall comments on the symposiumPlease share what you have learned and will change or maintain in your practice and/or patient care as a result of this symposium.*Did you hear anything in the accredited presentations that favored a specific product or company, not backed by clinical data?***If the answer is yes, it is important that you note the lecture/speaker and product concerned in the space provided. No Yes Comment Did you Attend Session I: Are We Doing Enough to Combat America’s #1 Killer, Cardiovascular Disease?*Reference Number: CAD0108094 Approved by the ASRT for 3.5 Category A continuing education credits.NoYesThursday, October 11, 2018 - Session IView Session I. Excellent Good Fair Poor Did you Attend Session II: It Doesn’t Just Revolve Around the Heart: PAD and Structural Heart Disease*Reference Number: CAD01080945 Approved by the ASRT for 3 Category A continuing education credits.NoYesThursday, October 11, 2018 - Session IIView Session II Excellent Good Fair Poor Did you Attend Session III: Diabetes: 21st Century Epidemic*Reference Number: CAD0108096 Approved by the ASRT for 4 Category A continuing education credits.NoYesFriday, October 12, 2018View Session III. Excellent Good Fair Poor Did you Attend Session Session IV: Future in Cardiovascular Medicine*Reference Number: CAD0108097 Approved by the ASRT for 3.75 Category A continuing education credits.NoYesFriday, October 12, 2018 - Session IVView Session IV. Excellent Good Fair Poor NameThis field is for validation purposes and should be left unchanged.
