How likely are you to recommend this course/program to a friend or colleague? * 12345678910 0 (not at all likely to recommend) - 10 (extremely likely to recommend) 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 1 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 2 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 3 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 4 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 5 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 6 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 7 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 8 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 9 0 (not at all likely to recommend) - 10 (extremely likely to recommend) - 10 Please indicate your level of agreement on each of the following statements * Strongly AgreeAgreeNeutralDisagreeStrongly Disagree The course/program met the stated learning objectives. The course/program met the stated learning objectives. - Strongly Agree The course/program met the stated learning objectives. - Agree The course/program met the stated learning objectives. - Neutral The course/program met the stated learning objectives. - Disagree The course/program met the stated learning objectives. - Strongly Disagree The instructor(s) were effective. The instructor(s) were effective. - Strongly Agree The instructor(s) were effective. - Agree The instructor(s) were effective. - Neutral The instructor(s) were effective. - Disagree The instructor(s) were effective. - Strongly Disagree As a result of participating in this course/ program, I am confident I will improve my competence or performance. As a result of participating in this course/ program, I am confident I will improve my competence or performance. - Strongly Agree As a result of participating in this course/ program, I am confident I will improve my competence or performance. - Agree As a result of participating in this course/ program, I am confident I will improve my competence or performance. - Neutral As a result of participating in this course/ program, I am confident I will improve my competence or performance. - Disagree As a result of participating in this course/ program, I am confident I will improve my competence or performance. - Strongly Disagree If you disagreed with any of the above statements, please elaborate. Help: Explain why you believe the course/program did not meet the stated learning objectives, what was ineffective about the facilitation, or why you do not feel this course/program will contribute to your improved competence and/or performance. What area(s) do you intend to change as a result of participating in this course/ program? (select as many options as you'd like) * Change Management/Implementation Collaboration/Team-Based Care Leading with Values Patient Assessment, Treatment or Care Delivery Patient/Family Communication Patient/Family Education Protocols, Policies, or Standard Work Quality Improvement/Best Practices Research Translation/Bench to Bedside Team Communication or Documentation No change necessary, current practice validated by education Other (specify) What area(s) do you intend to change as a result of participating in this course/ program? (select as many options as you'd like) Other (specify) During this course, did you feel you were influenced by any outside vendor or program sponsor? * Yes No Please explain: Please provide any additional feedback about this program, faculty, educational format and/or FUTURE TOPICS you would like to see this team present: Leave this field blank
