Self-Study Manual Evaluation and Certificate Request

Full Name*

RDN Number*

Required for RD/RDNs. If other discipline, enter N/A

Email Address*

Date Material was Completed (must be completed by 9/30/22):

I confirm that I have completed the the self-study manual contents and self assessment quiz*

On a scale from 4 (strongly agree) to 1 (disagree), please rate the following: The material was evidence based:*

On a scale from 4 (strongly agree) to 1 (disagree), please rate the following: The material was practical and will be useful in my practice:*

On a scale from 4 (strongly agree) to 1 (disagree), please rate the following: The material was well written and organized:*

What did you like best about the manual?

How could the manual be improved?

Do you feel the number of CPEU hours for this material was appropriate?*

Thank you for completing the evaluation. A certificate will be emailed to you within 1-2 business days.

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