Submit Post-test Answers
       
 

Submit your Module post-test answers using this form.  After submitting answers, there is an evaluation section which must be completed in order for you to receive CE credit.  After submitting the form, you will have the opportunity to return to this form to submit the answers to another module post-test or to proceed to the payment form.
   
 

   First name:   

   Last name:

Middle Initial:   Leave blank if you do not have one.

 

Certification: 

 

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A score of 12 correct answers out of 15 is needed to pass.  If you don't pass, you will be given the opportunity to re-test.

 

Check one of the following:

    

 I am paying by credit card and would like confirmation within 24 hours of fee payment.  I understand that I will not receive credit or confirmation until payment is confirmed and it is confirmed that I have passed the post-test.

 

This is a re-test.  There is no additional charge for a re-test.

 

I have pre-paid, or I have a credit, and I will not be making another payment.

 

 

Input Module number:

 

Enter your answers below:

 

Question   1: 

Question   2: 

Question   3: 

Question   4: 

Question   5: 

Question   6: 

Question   7: 

Question   8: 

Question   9: 

Question 10: 

Question 11: 

Question 12: 

Question 13: 

Question 14: 

Question 15: 

Please respond to these statements regarding this module:

 

1: Overall, I was satisfied with this course. 

                              

2: This course was taught at a level right for me. 

 

3. The graphics facilitated my understanding of this course. 

 

4. Presentation was organized. 

 

5. Presentation met the learning objectives. 

 

6. I would recommend this course to a colleague. 

 

How long have you been employed in the field of ophthalmology? years

 

What part of the program was most useful to you?

 

What part of the program was least useful to you?

 

General comments about the program: