Program Evaluation

We appreciate your participation in our continuing education activity. Your responses to this anonymous survey will allow us to improve our program offerings and services. Thank you for your time.
SECTION 1
For each statement please use the scale below to best reflect your opinion about the presentation:
        1 = Strongly disagree
        2 = Disagree
        3 = Somewhat Agree
        4 = Agree
        5 = Strongly Agree

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* 1. I feel that as a result of this activity I will be better able to:

  1  2 3 4 5 
Identify risks with care transitions for older patients with serious or advanced illness
Describe best practices procedures for conducting successful hand-off
Develop safety strategies for older adults and caregivers navigating the health system

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* 2. For each statement please use the scale below to best reflect your opinion about the presentation:
1 = Strongly disagree
2 = Disagree
3 = Somewhat Agree
4 = Agree
5 = Strongly Agree

  1 2 3 4 5
There was enough time to cover the topic.
I would recommend this conference to my peers.
The information was applicable to my daily activities.
SECTION 2:

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* 3. What were the major strengths of the presentation?

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* 4. Was today's topic one that you would have identified as important to you?

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* 5. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

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

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* 7. Please indicate which type of continuing education credit you would like to receive:

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* 8. Please list your information below so we may send you a Certificate of Completion:

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