Post ECHO Session Feedback Survey 

The Surprise Question in Palliative Care
September 29th, 2021

Thank you for attending this ECHO session. Your feedback is appreciated and will help us to improve future sessions:
1.Did you watch the session during our live presentation or through the recording?(Required.)
2.Please describe your role:(Required.)
3.What gender do you identify with?(Required.)
4.To what extent do you agree with the following statements?

The session was relevant to my practice(Required.)
5.There was ample opportunity for discussion.(Required.)
6.This session met my learning needs.(Required.)
7.The overall format of the session was useful.(Required.)
8.The presenters were knowledgeable.(Required.)
9.Overall, this ECHO session was a good learning experience.(Required.)
10.I would recommend this session to colleagues.(Required.)
11.The sessions I participated in had participants from professions other than mine. (e.g. physicians, nurses, nurse practitioners, social workers, managers, etc.)(Required.)
12.Having participants from different professions in the same sessions added to my learning about topics covered by these sessions.(Required.)
13.To what extent do you agree with the following statement

Having participants from different professions in the same sessions helps us to improve the care we provide.(Required.)
14.During the session I _________(select all that apply)(Required.)
15.If applicable, list up to 2 things you will be doing differently as a result of participating in this session. (please be specific)
16.If applicable, please describe up to 2 things that you were doing already that were confirmed in this session.
17.What other topics would you like to learn about through our ECHO programming?
18.Please share any additional comments.