Fall 2020 Do Right! Healthy Lifestyles: Healthy Steps (SESSION 1)

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* 1. Presenter

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* 2. Survey ID

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* 3. Date

Date / Time

Date

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* 4. Session Title

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* 5. On a scale with 5 being Strongly Agree and 1 being Strongly Disagree, please rate today's session:

	5 - Strongly Agree	4	3 - Neutral	2	1 - Strongly Disagree	0- No response
The presenter(s) clearly identified the objectives of the session.	The presenter(s) clearly identified the objectives of the session. 5 - Strongly Agree	The presenter(s) clearly identified the objectives of the session. 4	The presenter(s) clearly identified the objectives of the session. 3 - Neutral	The presenter(s) clearly identified the objectives of the session. 2	The presenter(s) clearly identified the objectives of the session. 1 - Strongly Disagree	The presenter(s) clearly identified the objectives of the session. 0- No response
The information was presented in a way that I can understand.	The information was presented in a way that I can understand. 5 - Strongly Agree	The information was presented in a way that I can understand. 4	The information was presented in a way that I can understand. 3 - Neutral	The information was presented in a way that I can understand. 2	The information was presented in a way that I can understand. 1 - Strongly Disagree	The information was presented in a way that I can understand. 0- No response
The information was useful.	The information was useful. 5 - Strongly Agree	The information was useful. 4	The information was useful. 3 - Neutral	The information was useful. 2	The information was useful. 1 - Strongly Disagree	The information was useful. 0- No response
I understand the risk associated with uncontrolled diabetes.	I understand the risk associated with uncontrolled diabetes. 5 - Strongly Agree	I understand the risk associated with uncontrolled diabetes. 4	I understand the risk associated with uncontrolled diabetes. 3 - Neutral	I understand the risk associated with uncontrolled diabetes. 2	I understand the risk associated with uncontrolled diabetes. 1 - Strongly Disagree	I understand the risk associated with uncontrolled diabetes. 0- No response
I will use the information I learned in this session to help me work towards achieving a healthier lifestyle	I will use the information I learned in this session to help me work towards achieving a healthier lifestyle 5 - Strongly Agree	I will use the information I learned in this session to help me work towards achieving a healthier lifestyle 4	I will use the information I learned in this session to help me work towards achieving a healthier lifestyle 3 - Neutral	I will use the information I learned in this session to help me work towards achieving a healthier lifestyle 2	I will use the information I learned in this session to help me work towards achieving a healthier lifestyle 1 - Strongly Disagree	I will use the information I learned in this session to help me work towards achieving a healthier lifestyle 0- No response
The amount of information covered today was just enough for the topic.	The amount of information covered today was just enough for the topic. 5 - Strongly Agree	The amount of information covered today was just enough for the topic. 4	The amount of information covered today was just enough for the topic. 3 - Neutral	The amount of information covered today was just enough for the topic. 2	The amount of information covered today was just enough for the topic. 1 - Strongly Disagree	The amount of information covered today was just enough for the topic. 0- No response
I can identify two ways to prevent or manage diabetes.	I can identify two ways to prevent or manage diabetes. 5 - Strongly Agree	I can identify two ways to prevent or manage diabetes. 4	I can identify two ways to prevent or manage diabetes. 3 - Neutral	I can identify two ways to prevent or manage diabetes. 2	I can identify two ways to prevent or manage diabetes. 1 - Strongly Disagree	I can identify two ways to prevent or manage diabetes. 0- No response

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* 6. What on piece of advice would you give to the speaker(s) to improve the presentation?

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* 7. What are the two new things you learned today? What action will you take to use the information you have learned?

New thing learned A:

My action step A:

New thing learned B:

My action step B:

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* 8. Any additional comments?