On-Demand: Team Based Care Evaluation

Thank you so much for taking the time out of your day to complete our short survey. We appreciate it so much, as your feedback will directly help us to improve our future trainings.

Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Title

Question Title

* 4. Organization

Question Title

* 5. On a scale of 1-5 how likely are you to make a change in your practice as a result of this training? (1 being least likely, 5 being very likely)

1

3

5

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 6. What is one change that you can make in your practice or give one idea that you will put into practice as a result of this training?

Question Title

* 7. On a scale of 1-5 how valuable did you find this training? (1 being least valuable, 5 being very valuable)

1

3

5

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 8. Please share any training or technical assistance needs.