Evaluation of Clinical Educational Activity

Electrosurgery in GI Endoscopy

Rate the following on a scale of 1 to 5.

1=poor   2=fair   3=average   4=good   5=excellent

Page Explanation

Page 1 – Objectives – to what extent did you achieve each of the following
Page 2 – Overall Activity – to what extent…

Full Name
Email Address
RN Number or Last 4 of SSN
© Erbe Elektromedizin GmbH All rights reserved.