Continuing Education Registration & Evaluation Form

Program Title: Pharmacy Technician Training Course

UPN: 048-000-08-028-L04-P CEU’s: 1.0
Location: Boynton Beach, FL Date: 4/16/09

All information must be printed clearly to ensure accurate record keeping for attendance and the awarding of
continuing education credit.
Name:
Address:
City: State: Zip:
Phone: Email:
CPhT License #: State: ONU Alumni? Y N
Program Content: Strongly Disagree Strongly Agree
The program objectives were clear. 1 2 3 4 5
The program met the stated goals & objectives:
List the top 200 drugs, brand name, generic names,
1 2 3 4 5
general use and usual dosage.
Discuss best practices for quality control and continuous
1 2 3 4 5
improvement.
List the laws affecting prescription dispensing. 1 2 3 4 5
Explain how to receive and interpret prescriptions and
1 2 3 4 5
different systems of measurement.
Discuss the proper dispensing procedure along with the
process for dispensing third party prescriptions and 1 2 3 4 5
submitting claims.
List alternative drug distributions systems. 1 2 3 4 5
Explain proper customer service and proper customer
1 2 3 4 5
communications skills.
Content of the program was interesting. 1 2 3 4 5
Material presented was relevant to my practice. 1 2 3 4 5
Audio/visual materials aided the learning process. 1 2 3 4 5
The meeting room was conducive to learning. 1 2 3 4 5
The material presented was unbiased. 1 2 3 4 5
Would you recommend this program to a colleague? 1 2 3 4 5
Speaker Content: Strongly Disagree Strongly Agree
The speaker was well prepared and knowledgeable about the
1 2 3 4 5
topic.
The speaker provided adequate time for questions. 1 2 3 4 5
Comments:

Suggestions for future programs

Thank you!

Please fax completed form to Pharmacy Development Services at (603)250-7174.

If you have any questions feel free to call Pharmacy Development Services at (800)987-7386 ext. 301.