CPE Course Evaluation Form [1] Evaluation Course Title: Course Instructor: Course Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027 Participant (optional): Please rate the following: 1. Stated learning objectives were met Agree Disagree Don't Know 2. Stated prerequisite requirements (if any) were appropriate and sufficient Agree Disagree Don't Know 3. Course materials, including the qualified assessment, if any, were relevant and contributed to the achievement of the learning objectives Agree Disagree Don't Know 4. Time allotted to the learning activity was appropriate Agree Disagree Don't Know 5. Presenter(s) was (were) effective Agree Disagree Don't Know Additional Comments: