DDDS Program Evaluation and CE Request Form for Dr. Stephanie Munz, The Special Needs Patient Encounter: A Framework for Advancing the Oral Care Experience Seminar January 19, 2022

Thank you for participating in the Detroit District Dental Society presentation by Dr. Stephanie Munz. 

To receive a Continuing Education Certificate for this presentation, you must complete this survey with contact information to receive the emailed electronic certificate.

The CE certificate is optional, the survey may be submitted without contact information and if you wish to provide an anonymous evaluation of the presentation.

--Detroit District Dental Society, centraloffice@detroitdentalsociety.com, 313.338.4900; Marcy Dwyer, MBA, CAE, CMP, Executive Director

Program Content

The program goals were to give more information on working with patients that may need extra treatment or special care and possible treatments. Did the content cover the objectives?

Speaker Presentation

Did the style and delivery of the speaker improve the presentation?

The program provided me with increased knowledge and information.

Content Level

Was the content appropriate for the zoom program? Please select all the following that apply.

Open question for any additional feedback on the presentation.

Continuing Education (CE) Certificate

If you complete the required personal information to receive the CE certificate,  the data will only be used for the dental association communication. Your personal contact information will never be released or sold to any third party outside the dental association. 
Do you wish to receive a Continuing Education Certificate for this program, Two (2) CE?

Dental job function - please select one for CE certificate

Name as it should appear on the certificate.