WORLD FEDERATION OF NEUROLOGY

CONTINUUM STUDY GROUP PROGRAMMR

PARTCIPANT EVALUATION FORM

Participant Dtails (BLOCK CAPITALS PLEASE)

Title: .................. First Name:...............................................Last Name:............................

Departament ........................................................................................................................

Institution ............................................................................................................................

Address ...............................................................................................................................

.............................................................................................................................................

Tel ..................................... Fax ................................ E-mail ............................................

Continuum Course

Date meeting held ...............................................................................................................

Please comment on the course, Was the content appropriate for your practice? Were the
discussions groups useful? How many attended the discussion group? Suggestions for
improvement are welcome (please continue on a separate sheet if necessary)