Program Evaluation

We appreciate your participation in our continuing education activity. Your responses will allow us to improve our program offerings and services. Thank you for your time.
SECTION 1
Please use the scale below to rate the efficacy of the learning objectives, the presenters, and the instructional format:
        1 = Totally ineffective, wouldn't recommend
        2 = Somewhat ineffective, at least one serious deficiency

        3 = Somewhat effective, acceptable but not outstanding
        4 = Effective, meets high standards, would recommend

        5 = Highly effective, among the best

Question Title

* 1. Rate the relationship between activity content to stated learning objective:

  2 3 4
Identify the risks associated with care transitions for people living with Alzheimer’s disease and related dementias (ADRD).
 Identify basic post-discharge information needs for persons living with ADRD discharged from a hospital or rehabilitation setting.
 List immediate actions that should be in place upon discharge.
Describe how to minimize potential post-discharge setbacks and communicate plans with caregivers.

Question Title

* 2. Rate the effectiveness of the presenter, Laurie Mantz, OTR, CDP, CADDCT, CDCM

  1 2 3 4 5
a. Presentation Style
b. Knowledge of Subject
c. Quality of Material
d. Practical applicability or relevance of topic
SECTION 2:
Using a rating scale of 0% (strongly disagree) to 100% (strongly agree), please indicate your level of agreement with each statement (1) BEFORE completing this educational activity and (2) AFTER completing the educational activity.

Question Title

* 3. BEFORE completing this activity.......
a.  I KNOW about the risks associated with care transitions for people living with Alzheimer’s disease and related dementias (ADRD).

0%  Strongly disagree with statement 100%  Strongly agree with statement
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 4. b.  I am confident I can APPLY my knowledge to identify basic post-discharge information needs for persons living with ADRD discharged from a hospital or rehabilitation setting.

0%  Strongly disagree with statement 100% Strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. c.  I am confident I KNOW immediate actions that should be in place upon discharge.

0%  Strongly disagree with statement 100% Strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 6. d.  I am confident I can APPLY my knowledge to describe how to minimize potential post-discharge setbacks and communicate plans with caregivers.

0%  Strongly disagree with statement 100% Strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 7. AFTER completing this activity:
d. I KNOW about the risks associated with care transitions for people living with Alzheimer’s disease and related dementias (ADRD).

0% Strongly disagree 100% Strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 8. b. I am confident I can APPLY my knowledge to identify basic post-discharge information needs for persons living with ADRD discharged from a hospital or rehabilitation setting.

0%  Strongly Disagree 100% Strongly Agree
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 9. c. I am confident I KNOW immediate actions that should be in place upon discharge.

0%  Strongly Disagree 100% Strongly Agree
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. d. I am confident I can APPLY my knowledge to describe how to minimize potential post-discharge setbacks and communicate plans with caregivers.

0%  Strongly Disagree 100% Strongly Agree
Clear
i We adjusted the number you entered based on the slider’s scale.
SECTION 3:

Question Title

* 11. What was the most significant thing(s) you learned today?

Question Title

* 12. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

Question Title

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

Question Title

* 14. Are you interested in receiving continuing education credits?

Question Title

* 15. If yes, what type of continuing education credit are you interested in?

Question Title

* 16. Please enter your information (below) so we may send you a certificate

T