CRCE Certificate This is the form for learners or attendees to submit their information & fill out the survey to have their certificate automatically generated. Step 1 of 2 50% Contact DetailsName(Required) First Last Email(Required) Enter Email Confirm Email PhoneName of your current employer?(Required)Credential(s)(Required)Enter your respiratory care credential(s) as they should appear on your certificate (e.g., RRT, CRT, RCP).State License #Optional — enter your state respiratory care license number if applicable (e.g., AZ RCP #12345). Please fill out this post-course evaluation1. Course & Content RelevanceDid the educational content meet the stated objectives?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeWas the material applicable to your daily clinical practice?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeWas the material free of commercial bias and promotional content?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeDid this activity enhance your respiratory care skills or knowledge?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agree2. Speaker / Instructor AssessmentWas the speaker knowledgeable and well-prepared?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeDid the speaker effectively communicate the subject matter?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeWere the speaker’s audiovisuals and materials clear and helpful?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeDid the speaker allow adequate time for participant questions?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agree3. Course Logistics & UsabilityHow would you rate the overall quality of this educational activity?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeWere the instructions for completing the test/survey clear and easy to follow?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeWas the platform or video/audio streaming quality satisfactory?(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agree4. Open-Ended FeedbackWhat was the most valuable part of this educational session?(Required)How do you plan to implement this information into your patient care?(Required)What additional topics would you like to see in future courses?(Required)Was this course in person or virtual?(Required)In PersonVirtualAre you AARC/AZSRC member?(Required) Yes No AARC/AZSRC Membership Number(Required)Credential(s)(Required)Enter your respiratory care credential(s) as they should appear on your certificate.State License #Optional — enter your state respiratory care license number if applicable.
