Please take a few minutes to fill out our Needs Assessment Survey. Your responses will help us develop future courses.
1. Personal information
First Name
Last name
E-mail address
Name of organization
Medical degree (M.D. or D.O.)
2. Area(s) of medical specialty: Please check each box that applies.
Area of surgical specialty
Other (optional)
3. How interested are you in taking category 1 CME courses on the Internet?	Very interested Maybe interested Not interested
5. What educational topics would you like to see in future online CME programs?
6. What is your learning style preference? Please check each box that applies?	Diadactic- lecture format Live Event If so, what type of event: Enduring Material If so, what type of enduring material: Internet Hands-on practice Other:
7. What computer system would you most likely use when taking CME courses?	PC Mac Either Other:
8. Please list your favorite Internet health care sites. Include Internet address (URL) if available.
9. Additional comments