Polypharmacy and Deprescribing Program Evaluation Survey

SECTION 1
Please use the scale below to rate the efficacy of the learning objectives, the presenters, and the instructional format:
1 = Totally ineffective, wouldn't recommend
2 = Somewhat ineffective, at least one serious deficiency
3 = Somewhat effective, acceptable but not outstanding
4 = Effective, meets high standards, would recommend
5 = Highly effective, among the best

Question Title

* 1. Rate the relationship between activity content to stated learning objective:

	1	2	3	4	5
Describe the changes in aging physiology that affect prescribing	Describe the changes in aging physiology that affect prescribing 1	Describe the changes in aging physiology that affect prescribing 2	Describe the changes in aging physiology that affect prescribing 3	Describe the changes in aging physiology that affect prescribing 4	Describe the changes in aging physiology that affect prescribing 5
Understand the need to frequently evaluate medication indications and risk benefit equation in older adults	Understand the need to frequently evaluate medication indications and risk benefit equation in older adults 1	Understand the need to frequently evaluate medication indications and risk benefit equation in older adults 2	Understand the need to frequently evaluate medication indications and risk benefit equation in older adults 3	Understand the need to frequently evaluate medication indications and risk benefit equation in older adults 4	Understand the need to frequently evaluate medication indications and risk benefit equation in older adults 5
Apply the Beer’s criteria when choosing medications	Apply the Beer’s criteria when choosing medications 1	Apply the Beer’s criteria when choosing medications 2	Apply the Beer’s criteria when choosing medications 3	Apply the Beer’s criteria when choosing medications 4	Apply the Beer’s criteria when choosing medications 5

Question Title

* 2. Rate the effectiveness of the presenter, Ana Tuya Fulton, MD, FACP

	1	2	3	4	5
a. Presentation Style	a. Presentation Style 1	a. Presentation Style 2	a. Presentation Style 3	a. Presentation Style 4	a. Presentation Style 5
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4	b. Knowledge of Subject 5
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4	c. Quality of Material 5
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4	d. Practical applicability or relevance of topic 5

Question Title

* 3. Rate the effectiveness of the presenter, Tara Higgins, PharmD, CDOE

	1	2	3	4	5
a. Presentation Style	a. Presentation Style 1	a. Presentation Style 2	a. Presentation Style 3	a. Presentation Style 4	a. Presentation Style 5
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4	b. Knowledge of Subject 5
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4	c. Quality of Material 5
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4	d. Practical applicability or relevance of topic 5

SECTION 2:
Using a rating scale of 0% (strongly disagree) to 100% (strongly agree), please indicate your level of agreement with each statement (1) BEFORE completing this educational activity and (2) AFTER completing the educational activity.

Question Title