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?

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 skin changes that occur with aging.
Know the basics of what skin cancer looks like and when to refer.
List best strategies to address a common issue, dry itchy skin.

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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
Lisa Ahava, PA-C, MPH

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

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

RETROSPECTIVE ASSESSMENT:

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* 9. We would like to know whether participating in this webinar led to a change in your knowledge. For the items listed below, please rate your level of knowledge 1.) BEFORE participating in the webinar, and 2.) AFTER participating in this webinar. Rating Scale: 0% to 100% (no knowledge at all ... to most knowledge possible)

  BEFORE AFTER
I know about skin changes that occur with aging
I know the basics of what skin cancer looks like and when to refer.
I know the best strategies to address a common issue, dry itchy skin.

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* 10. We would like to know whether participating in this webinar led to a change in your CONFIDENCE to apply this knowledge in practice. For the items listed below, please rate your level of confidence to apply this knowledge 1) Before participating in the webinar, and then 2) After participating in this webinar. Rating Scale: 0% to 100% (no confidence at all... to most confidence possible)

  BEFORE AFTER
I am confident that I can describe skin changes that occur with aging.
I am confident that I can apply the basics of what skin cancer looks like and when to refer.
I am confident that I can apply best strategies to address a common issue, dry itchy skin

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

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* 12. Please indicate your preferred completion certificate:

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

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