Ipsen Pediatric Endocrinology Insider

Evaluation Form

Your feedback is essential to Ipsen to continue improving our meetings and ensure we meet your future
educational needs. We would appreciate it if you could take a few minutes to share your opinions with us.

Your specialty *

The meeting provided more insights and useful data that can be applied to your role. *

5 (Strongly Agree)	4 (Agree)	3 (Neutral)	2 (Disagree)	1 (Strongly Disagree)
5 (Strongly Agree)Item #1 5 (Strongly Agree)	4 (Agree)Item #1 4 (Agree)	3 (Neutral)Item #1 3 (Neutral)	2 (Disagree)Item #1 2 (Disagree)	1 (Strongly Disagree)Item #1 1 (Strongly Disagree)

The presentations were clear and well communicated. *

5 (Strongly Agree)	4 (Agree)	3 (Neutral)	2 (Disagree)	1 (Strongly Disagree)
5 (Strongly Agree)Item #1 5 (Strongly Agree)	4 (Agree)Item #1 4 (Agree)	3 (Neutral)Item #1 3 (Neutral)	2 (Disagree)Item #1 2 (Disagree)	1 (Strongly Disagree)Item #1 1 (Strongly Disagree)

The agenda was well paced within the allotted timeframe. *

5 (Strongly Agree)	4 (Agree)	3 (Neutral)	2 (Disagree)	1 (Strongly Disagree)
5 (Strongly Agree)Item #1 5 (Strongly Agree)	4 (Agree)Item #1 4 (Agree)	3 (Neutral)Item #1 3 (Neutral)	2 (Disagree)Item #1 2 (Disagree)	1 (Strongly Disagree)Item #1 1 (Strongly Disagree)

Audio-visual aids were appropriately utilized. *

5 (Strongly Agree)	4 (Agree)	3 (Neutral)	2 (Disagree)	1 (Strongly Disagree)
5 (Strongly Agree)Item #1 5 (Strongly Agree)	4 (Agree)Item #1 4 (Agree)	3 (Neutral)Item #1 3 (Neutral)	2 (Disagree)Item #1 2 (Disagree)	1 (Strongly Disagree)Item #1 1 (Strongly Disagree)

The Overall meeting was well structured and organized. *

5 (Strongly Agree)	4 (Agree)	3 (Neutral)	2 (Disagree)	1 (Strongly Disagree)
5 (Strongly Agree)Item #1 5 (Strongly Agree)	4 (Agree)Item #1 4 (Agree)	3 (Neutral)Item #1 3 (Neutral)	2 (Disagree)Item #1 2 (Disagree)	1 (Strongly Disagree)Item #1 1 (Strongly Disagree)

On a scale from 0 to 10, how likely are you to refer your colleagues to attend this educational program? (10: most likely, 0: least likely) *

10	9	8	7	6	5	4	3	2	1	0
10Item #1 10	9Item #1 9	8Item #1 8	7Item #1 7	6Item #1 6	5Item #1 5	4Item #1 4	3Item #1 3	2Item #1 2	1Item #1 1	0Item #1 0

Topics of interest that should be the focus of the next Ipsen educational program. *

Your thoughts and suggestions regarding this educational program.