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Name *
Mobile Number *
Email*
Date*
Workshop Title*
Expected attendance*
Speaker name*
What is the intended target audience of the activity? *
What learning needs or gap(s) in knowledge, attitudes, skills or performance of the intended target audience did the scientific planning committee identify for this activity? *
What the type(s)of Needs Assessment tools that the scientific committee used to identify learning needs or gap? *
Activity Objectives *
What are the Goals and learning objective(s) of the activity? (Please write them in SMART format) *
What learning methods/ delivery format were selected to help the CPD activity meet the stated learning objectives? *
How will the overall group learning activity and individual sessions be evaluated by participants? *
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