AGPJ Virtual CME On-Demand Review and Presenter Evaluation Survey AGPJ Virtual CME On-Demand Review and Presenter Evaluation Survey We sincerely appreciate your participation in the Association of General Practitioners of Jamaica (AGPJ) Virtual CME On-Demand event held on Zoom. As part of our commitment to providing high-quality continuing medical education (CME), and especially our on Demand events, we value your feedback on the presentations and overall experience Survey Questions: a. Full Name: * b. Years of Practice: c. Contact Phone: * d. Contact Email: * On-Demand Review: a. Have you reviewed the on-demand recordings from the AGPJ Virtual CME event? * Yes No b. If yes, please list the events you reviewed, the date of the review, and the number of CME/CPD credits required for each event: * Presentation Evaluation: Briefly review each presentation you have watched and provide constructive feedback. Please rate 1st presenter on a scale of 1-5 with 5 being the highest * 1 2 33 4 5 Please rate 2nd presenter on a scale of 1-5 with 5 being the highest * 1 2 33 4 5 Please rate 3rd presenter on a scale of 1-5 with 5 being the highest (if applicable) 1 2 33 4 5 Please rate 4th presenter on a scale of 1-5 with 5 being the highest (if applicable) 1 2 33 4 5 Please rate 5th presenter on a scale of 1-5 with 5 being the highest (if applicable) 1 2 33 4 5 Certificate Details: a. For each event reviewed, please provide the name of the event and date reviewed. * CME Certificate Delivery: a. CME certificates will be emailed after confirmation of your review of the recordings and completion of this form and receipt of confirmation of payment. Additionally, confirmation of payment should be sent to us via email at agpjsecretary@gmail.com. Please acknowledge Section 8 below * Acknowledged Contact Information: a. In case of any queries or issues, please feel free to reach us at: Telephone: 876-517-6636 / 876-386-1443 (WhatsApp) Email: agpjsecretary@gmail.com Thank you for your valuable feedback and commitment to professional development. Your input is crucial in enhancing our future CME events. If you have any questions or encounter any issues, please contact us using the provided contact information. PAYMENT INFORMATION a. The cost per certificate is J$1,500.00. Kindly make the payment using one of the following methods Online Payment: Payment Linkhttps://www.fygaro.com/en/pb/b14759b1-50d0-4e68-a18b-d857b9a84cd6/ Bank Transfer: BANK/BRANCH: NCB MATILDAS CORNER A/C # & TYPE: J$ BUSINESS CURRENT – #371000364 A/C NAME: AGPJ OR ASSN OF GENERAL PRACTITIONERS OF JAMAICA Please indicated completion of above * Completed In progress a. After making the payment, please provide confirmation/any transaction/reference number associated with your payment for verification purposes to: agpjsecretary@gmail.com Please confirm completion of above * Completed In Progress If you are human, leave this field blank. Submit
