Diagnosis Dementia: Next Steps in Managing and Coordinating Care

Program Evaluation

Please take a few moments to answer the following questions, which will be used to assist us in meeting your educational needs. Your feedback will be kept private and confidential and only aggregate data will be shared. On behalf of the RI Geriatric Education Center, we thank you!

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* 1. What was the purpose for your participation in this activity?

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* 2. What is your primary professional discipline?

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* 3. Please list all professional license/certificate/degree(s) you hold:

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* 4. How satisfied with the activity were you overall?

Extremely DISSATISFIED

Somewhat DISSATISFIED

Neither SATISFIED nor DISSATISFIED

Somewhat SATISFIED

Extremely SATISFIED

Comment:

EVALUATION OF TRAINING:
Please use the scale below to rate the efficacy of the learning objectives, the presenters, and the instructional format:
1=Totally ineffective 2=Somewhat ineffective 3=Somewhat effective 4=Effective 5=Highly effective

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* 5. How effective was the activity in meeting the stated learning objectives?
Upon completion of this activity, participants will be able to:

	1 Totally INEFFECTIVE	2	3	4	5 Highly EFFECTIVE
Describe the importance of healthcare advocacy	Describe the importance of healthcare advocacy 1 Totally INEFFECTIVE	Describe the importance of healthcare advocacy 2	Describe the importance of healthcare advocacy 3	Describe the importance of healthcare advocacy 4	Describe the importance of healthcare advocacy 5 Highly EFFECTIVE
Recognize the importance of meaningful engagement/meaningful activities	Recognize the importance of meaningful engagement/meaningful activities 1 Totally INEFFECTIVE	Recognize the importance of meaningful engagement/meaningful activities 2	Recognize the importance of meaningful engagement/meaningful activities 3	Recognize the importance of meaningful engagement/meaningful activities 4	Recognize the importance of meaningful engagement/meaningful activities 5 Highly EFFECTIVE
Identify appropriate and accessible community resources	Identify appropriate and accessible community resources 1 Totally INEFFECTIVE	Identify appropriate and accessible community resources 2	Identify appropriate and accessible community resources 3	Identify appropriate and accessible community resources 4	Identify appropriate and accessible community resources 5 Highly EFFECTIVE

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* 6. Rate the effectiveness of the presenter.
Consider presentation style, knowledge of subject, quality of material, and practical applicability or relevance of topic in your assessment.

	1 Totally INEFFECTIVE	2	3	4	5 Highly EFFECTIVE
Sandra Fournier	Sandra Fournier 1 Totally INEFFECTIVE	Sandra Fournier 2	Sandra Fournier 3	Sandra Fournier 4	Sandra Fournier 5 Highly EFFECTIVE
Christine Gadbois	Christine Gadbois 1 Totally INEFFECTIVE	Christine Gadbois 2	Christine Gadbois 3	Christine Gadbois 4	Christine Gadbois 5 Highly EFFECTIVE

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* 7. Rate the effectiveness of teaching strategies:

	1 Totally INEFFECTIVE	2	3	4	5 Highly EFFECTIVE
Teaching strategies:	Teaching strategies: 1 Totally INEFFECTIVE	Teaching strategies: 2	Teaching strategies: 3	Teaching strategies: 4	Teaching strategies: 5 Highly EFFECTIVE

Comments:

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* 8. What was the most significant thing(s) you learned as a result of participating in this activity?

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* 9. In your work with older adults, do you intent to implement at least one practice improvement learned as a result of this activity?

Yes

N/A

Please describe:

RETROSPECTIVE ASSESSMENT:

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* 10. Please indicate your perceived level of KNOWLEDGE for each items listed below 1.) BEFORE completing the activity, and 2.) AFTER completing the activity. Rating Scale: 0% to 100% (no knowledge at all ... to most knowledge possible)

	BEFORE	AFTER
Describe the importance of healthcare advocacy	Describe the importance of healthcare advocacy BEFORE menu	Describe the importance of healthcare advocacy AFTER menu
Recognize the importance of meaningful engagement/meaningful activities	Recognize the importance of meaningful engagement/meaningful activities BEFORE menu	Recognize the importance of meaningful engagement/meaningful activities AFTER menu
Identify appropriate and accessible community resources	Identify appropriate and accessible community resources BEFORE menu	Identify appropriate and accessible community resources AFTER menu

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* 11. Please indicate your perceived level of CONFIDENCE to apply each of the items listed below 1.) BEFORE completing this activity and 2.) AFTER completing the activity. Rating Scale: 0% to 100% (no confidence at all... to most confidence possible)

	BEFORE	AFTER
Describe the importance of healthcare advocacy	Describe the importance of healthcare advocacy BEFORE menu	Describe the importance of healthcare advocacy AFTER menu
Recognize the importance of meaningful engagement/meaningful activities	Recognize the importance of meaningful engagement/meaningful activities BEFORE menu	Recognize the importance of meaningful engagement/meaningful activities AFTER menu
Identify appropriate and accessible community resources	Identify appropriate and accessible community resources BEFORE menu	Identify appropriate and accessible community resources AFTER menu

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* 12. Please feel free to share any additional comments and suggestions for improvement. Your feedback is extremely valuable to us.

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* 13. Please indicate your preferred completion certificate:

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* 14. Please complete the information below so we may send your certificate:

Name as you wish it to appear

Organization

State

ZIP/Postal Code

Email Address

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* 1. What was the purpose for your participation in this activity?

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* 2. What is your primary professional discipline?

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* 3. Please list all professional license/certificate/degree(s) you hold:

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* 4. How satisfied with the activity were you overall?

Question Title

* 5. How effective was the activity in meeting the stated learning objectives? Upon completion of this activity, participants will be able to:

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* 6. Rate the effectiveness of the presenter. Consider presentation style, knowledge of subject, quality of material, and practical applicability or relevance of topic in your assessment.

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* 7. Rate the effectiveness of teaching strategies:

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* 8. What was the most significant thing(s) you learned as a result of participating in this activity?

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* 9. In your work with older adults, do you intent to implement at least one practice improvement learned as a result of this activity?

Question Title

* 10. Please indicate your perceived level of KNOWLEDGE for each items listed below 1.) BEFORE completing the activity, and 2.) AFTER completing the activity. Rating Scale: 0% to 100% (no knowledge at all ... to most knowledge possible)

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* 11. Please indicate your perceived level of CONFIDENCE to apply each of the items listed below 1.) BEFORE completing this activity and 2.) AFTER completing the activity. Rating Scale: 0% to 100% (no confidence at all... to most confidence possible)

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* 12. Please feel free to share any additional comments and suggestions for improvement. Your feedback is extremely valuable to us.

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* 13. Please indicate your preferred completion certificate:

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* 14. Please complete the information below so we may send your certificate:

* 5. How effective was the activity in meeting the stated learning objectives?
Upon completion of this activity, participants will be able to:

* 6. Rate the effectiveness of the presenter.
Consider presentation style, knowledge of subject, quality of material, and practical applicability or relevance of topic in your assessment.