Screen Reader Mode Icon

Post Palliative Care ECHO Series Session Survey

Please complete this survey as part of participating in the Palliative Care ECHO Series.

Your responses will help us describe our participants' professional practice and measure the outcomes of our program (the “O” in “ECHO”).

The aggregated data collected will be used as part of an evaluation of this ECHO program funded by Health Canada. No personally identifying information will ever be used when disseminating results. Completing this questionnaire is voluntary and your choice will not affect your affiliation with ECHO. By completing this questionnaire, you consent to participate in this evaluation.

Because the Palliative Care ECHO Series is a collaborative project, data will be shared with Pallium Canada. Data will not be shared with any other external institution. If you have any questions (e.g., regarding your rights as a participant) please contact the Palliative Care ECHO Coordinator Stephanie Hendrickson (shendric@lakeheadu.ca).

Thank you for your time and support.

Question Title

* 1. Your name (first and last):

Question Title

* 2. Do you consent to Pallium Canada’s Research Policy? http://pallium.ca/infoware/Consent_For_Research_Data_Collection_v2.pdf

Question Title

* 3. The session effectively met the stated overall learning objectives.

  1. Yes 2. No
a) Identify barriers to providing quality palliative care in rural communities
b) Discuss strategies to overcome these challenges

Question Title

* 4. Did you perceive any degree of bias in any part of the session?

Question Title

* 5. To what extent do you agree with the following statements:

  1. Strongly Disagree 2. Somewhat Disagree 3. Neutral 4. Somewhat Agree 5. Strongly Agree
This session was relevant to my practice.
There was ample opportunity for discussions.
This session met my learning needs.
The overall format of the session was useful.
The presenters were knowledgeable.
Overall, this ECHO session was a good learning experience.
I would recommend this session to colleagues.

Question Title

* 6. During this session, I (select all that apply)

Question Title

* 7. If applicable, list up to 2 things you will be doing differently as a result of participating in this session (please be specific).

Question Title

* 8. If applicable, please describe up to 2 things that you were doing already that were confirmed in this session.

Question Title

* 9. What other topics would you like to learn about through our ECHO programming?

Question Title

* 10. Please share any additional comments.

0 of 10 answered
 

T