T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION...

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LLL COURSE EVALUATION FORM 2010 - 32 nd ESPEN - Nice, France To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS. Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): …………………………………………….. Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ……………………………………………… Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: Yes No Name of the SIG meeting: ……………………………………………………….. TOTAL number of hours claimed: ………… Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER . A form filled inappropriately will not be accepted. T-LLL - 6 th Teach the Teachers Course TTT Saturday 4 September 2010, 09:00-13:00 Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Regina Komsa (Bulgaria)

Transcript of T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION...

Page 1: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

T-LLL - 6thTeach the Teachers Course TTT Saturday 4 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Regina Komsa (Bulgaria)

Page 2: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional assessment and techniques

Saturday 4 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality

Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Rémy Meier (Switzerland)

LubosSobotka (Czech Republic)

Page 3: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional support in renal disease

Saturday 4 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality

Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Noël Cano (France)

Enrico Fiaccadori (Italy)

Daniel Teta (France)

Page 4: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutrition and disease prevention Saturday 4 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Maurizio Muscaritoli(Italy)

Eduardo Cabré (Spain)

Page 5: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional support in neurological diseases Saturday 4 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Merce Planas (Spain)

Stéphane Schneider (France)

IreneBreton (Spain)

Rosa Burgos (Spain)

Page 6: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Approach to parenteral nutrition Saturday 4 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Alessandro Laviano (Italie)

André Van Gossum(Belgium)

Stefan Mühlebach (Germany)

Page 7: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Approach to oral and enteral nutrition Saturday 4 September 2010, 14:00-18:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Mathias Pirlich (Germany)

Johann Ockenga(Germany)

Page 8: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional support in intestinal diseases Saturday 4 September 2010, 14:00-18:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Peter Soeters (Netherlands)

Alastair Forbes (UK)

Rémy Meier (Switzerland)

Page 9: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional support in respiratory diseases Saturday 4 September 2010, 14:00-18:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Christophe Pison (France)

Annemie Schols(Netherlands)

Page 10: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutrition in paediatric patients Saturday 4 September 2010, 14:00-18:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

SanjaKolacek (Croatia)

Hania Szajewska (Poland)

Page 11: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional support in diabetes and dyslipidemia Saturday 4 September 2010, 14:00-18:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

LubosSobotka (Czech Republic)

IritChermesh (Israel)

Page 12: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutritional support in liver and pancreatic diseases Sunday 5 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Rémy Meier (Switzerland)

Jens Kondrup (Denmark)

JohannOckenga (Germany)

Page 13: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Home parenteral nutrition in adult patients Sunday 5 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Loris Pironi (Italy)

MichaelStaun(Denmark)

Page 14: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutrition in metabolic syndrome Sunday 5 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Miguel León-Sanz (Spain)

Maria Ballesteros(Spain)

Cristinade la Cuerda(Spain)

Page 15: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Nutrition in obesity Sunday 5 September 2010, 09:00-13:00

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

IritChermesh (Israël)

Augusta Palmo (Italy)

Page 16: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Educational LLL Session - Nutritional support in the perioperative period

Monday6 September 2010, 08:00-10:00

Speech Speakers Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality

Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Response to surgical stress

O. Ljungqvist(Sweden)

Enhanced Recovery - principles

K. Fearon(United Kingdom)

Perioperative fluids D. Lobo (United Kingdom)

Nutrition in the surgical patient

A. Weimann(Germany)

Page 17: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Educational LLL Session - Sports and Nutrition Monday 6 September 2010, 13:00-15:00

Speech Speakers

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality

Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Muscle physiology and bioenergetics R. Barazzoni(Italy)

Fluids, electrolyte balance, and ergogenic aids

G. Dubnov-Raz(Israel)

Nutritional requirements for physical fitness

L. Genton(Switzerland)

Substrate utilisation: carbohydrate and fat utilisation during rest and physical activity

K. Melzer(Switzerland)

Page 18: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

Your Certificate of Attendance and/or Diploma will be given to you ONLY upon return of your duly filled evaluation form at the end of the session. NO FORM WILL BE ACCEPTED ONCE THE COURSE IS OVER.

A form filled inappropriately will not be accepted.

Educational LLL Session - Nutritional support in cancer Tuesday 7 September 2010, 08:00-10:00

Speech Speakers

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality

Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Pharmacologic therapy

J. Arends(Germany)

Benefits and limitations of conventional nutritional support for cancer patients

K. Fearon (UK)

Cancer anorexia A. Laviano (Italy)

Mechanisms of wasting in cancer cachexia

P. Ravasco(Portugal)

Page 19: T-LLL - 6 Teach the Teachers Course TTTlllnutrition.com/old/FINAL_LLL EVALUATION FORM_Template.pdf · YourCertificate of Attendance and/or Diploma will be given to you ONLY upon return

LLL COURSE EVALUATION FORM 2010 - 32nd ESPEN - Nice, France

To be considered for CME validation, this form MUST include the delegate’s name, e-mail address, discipline, registration number and total number of hours claimed. Thank you for writing CLEARLY and in CAPITAL LETTERS.

Delegate’s NAME: …………………………………………………………… Delegate’s registration number (on your badge): ……………………………………………..

Delegate’s E-MAIL address: ………………………………………………………………………………………… Delegate’s Age: ………………………………………………

Delegate’s discipline: ………………………………………………………. Attendance at a Special Interest Group meeting: � Yes � No Name of the SIG meeting: ………………………………………………………..

TOTAL number of hours claimed: …………

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A form filled inappropriately will not be accepted.

Educational LLL Session - Nutritional support in ICU patients Tuesday 7 September 2010, 13:00-15:00

Speech Speakers

Teaching effectiveness Content value Improved my knowledge Useful to my practice Overall quality

Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor Excellent Good Fair Poor

Clinical priorities for solving nutritional problems

I. Grecu(Romania)

Promoting homeostasis during nutritional support

M. Hiesmayr(Austria)

Barriers to oral, enteral nutrition, parenteral nutrition

J.C. Preiser(Belgium)

Specific substrates for artificial nutrition in the ICU

P. Singer (Israel)