February 3rd, 2016 from 12:00pm-1:00pm (EST)

Instructions: To obtain CME, CASAC , CPP , or CPS continuing education credits or a certificate of attendance, complete this Evaluation via SurveyMonkey in order to obtain course credit. Respondent's information will be held confidential. Certificates will be mailed within 6-8 weeks of the call date.

Presented by: Donna Warner, MBA, MA


1. Explain what is meant by a ‘system’ in healthcare facilities to address tobacco use
2. Identify the principles and components of real-world clinical systems that work
3. Describe how to achieve and sustain high performance on tobacco interventions and reduce patient population smoking rates

* 1. Please rate the following using a scale of 1 to 4, with 1 representing poor and 4 representing excellent

  1 2 3 4
Content of the presentation
Program accomplished the stated objectives
Teaching methods and aids were appropriate and used effectively
Overall quality of the program
The program provided me with new information and knowledge that may be pertinent to your practice and patient care
The teaching effectiveness of the presenter: Donna D. Warner

* 2. What percentage of information was new to you?

* 3. As a result of attending this presentation:

* 4. Continuing education presentations must be “free of commercial bias for or against” any product. Was this program fair, balanced, and free of commercial bias?

* 5. The provider of the activity has disclosed in writing or verbally the conflict of interest, or lack thereof, declared by the planners and presenters/content specialists.

* 6. Suggestions for future topics/improvements:

* 7. Please fill out the information below:

* 8. Please only chose one

* 9. Name (Electronic Signature, Mandatory for course credit)

Thank you for participating in this Collaborative Call.