Speaker Evaluation Form

SECTION I: ACTIVITY DETAILS

Title of Activity: Click here to enter text.
Activity Date: Click here to enter text.
Organizer/institution: Click here to enter text.
OMSB Registration Code: Click here to enter text.
Category: I ☐II ☐
Name of speaker: Click here to enter text.

SECTION II: EVALUATION

1- 2- 3- 4- 5-
On a scale of 1-5, please rate the following: Strongly Agree Neutral Disagree Strongly
Agree Disagree

The content was up-to-date and evidence-based. ☐ ☐ ☐ ☐ ☐

The material presented is relevant to my clinical practice. ☐ ☐ ☐ ☐ ☐

The speaker demonstrated expertise in the subject. ☐ ☐ ☐ ☐ ☐

The speaker has effective presentation skills. ☐ ☐ ☐ ☐ ☐

Audio-visuals were used effectively. ☐ ☐ ☐ ☐ ☐

Interactive discussion was stimulated. ☐ ☐ ☐ ☐ ☐

OMSB-CPD-FRM-006