Program Evaluation

Thank you for taking the time to complete our program evaluation.  Your answers will be used to assist us in better meeting your educational needs. Your feedback will be kept strictly confidential and no data will ever be shared that could identify you.  Thank you!
DEMOGRAPHICS

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* 1. What is your primary professional discipline:

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* 2. Please list any professional license/certificate/degree(s) you hold (e.g. BSN, CNA, LPN, etc.): 

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* 3. Are you a primarily a student or trainee?

EVALUATION OF TRAINING:

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

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* 5. How effective was the activity in meeting the stated learning objectives?   

  1
Not at all effective 		2 3 4 5
Highly effective
Identify roles that can help support someone challenged with memory loss.
Discuss best practices around supporting and intervening challenging behaviors for patients, and caregivers.
Describe how to conduct a behavior intervention process using a team approach map.

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* 6. Please 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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Not at all Effective 		2 3 4 5
Highly effective
Kelly McCarthy

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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 PRE/POST ASSESSMENT:

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* 9. KNOWLEDGE
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% (0%=no knowledge at all ; 100%= most knowledge possible)

  BEFORE Webinar AFTER Webinar
I know about roles that can help support someone challenged with memory loss
I know about best practices to support and intervene on challenging behaviors for patients, and caregivers
I know about how to conduct a behavior intervention process using a team approach map

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* 10. CONFIDENCE
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% (0%=no knowledge at all ; 100%= most knowledge possible)

  BEFORE AFTER
I am confident that I can Identify roles to support someone challenged with memory loss
I am confident that I can discuss best practices to support and intervene on challenging behaviors
I am confident that I can describe a behavior intervention process using a team approach map

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

CERTIFICATE INFORMATION

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* 12. If you would like a certificate of completion, please complete the information below:

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