Pain Care for People With Opioid Use Disorder Learning Series
Session 1: Understanding Opioid Use Disorder & Treatment Options Evaluation

Post Training Evaluation

Thank you for attending this learning activity. Please take a few moments to evaluation this training.

IMPORTANT!!
Once you complete the post-training evaluation and click FINISHED and you will be redirected to a webpage to print or save your continuing education certificate.
If you have difficulties completing this survey, contact Amy Wales at amy.wales@miccsi.org.

Demographics

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* 1. Personal Information

First Name

Last Name

Credential

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* 2. Please choose your organization from the choices below:

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* 3. Please choose your role:

Provider (MD, DO, PA-C, NP, etc.)

Nurse or Nurse Care Manager

Social Worker Care Manager/Behavioral Health Specialist

Pharmacist

Other Clinical (LPC, CMA, RMA, etc.)

Non-Clinical (Practice Manager, Support Staff, CHW, etc.)

Leadership

Other (please specify)

Question Title

* 4. After attending this session, please indicate your confidence in managing pain care for people with Opioid Use Disorder (OUD).

Less Confident-1

Same Confidence-2

Increased Confidence-3

Less Confident-1

Same Confidence-2

Increased Confidence-3

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* 5. On a scale of 1-5, how would you rate this training overall? (Scale: 1=very dissatifed & 5=very satisfied)

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* 6. What did you like most about this session?

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* 7. What did you like least about this session?

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* 8. Do you have specific suggestions as to how this learning activity might be improved?

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* 9. Did you feel the content was:

Just right

Too advanced

Too basic

Just right

Too advanced

Too basic

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* 10. Please provide your impressions about Eva Quirion, FNP, PhD's presentation by rating each category on a scale of 1-5 where:

1=VERY POOR
2=POOR
3=AVERAGE
4=GOOD
5=EXCELLENT

	1	2	3	4	5
Knowledge of presenter	Knowledge of presenter 1	Knowledge of presenter 2	Knowledge of presenter 3	Knowledge of presenter 4	Knowledge of presenter 5
Overall rating of topic/presentation	Overall rating of topic/presentation 1	Overall rating of topic/presentation 2	Overall rating of topic/presentation 3	Overall rating of topic/presentation 4	Overall rating of topic/presentation 5
This topic was relevant to my role	This topic was relevant to my role 1	This topic was relevant to my role 2	This topic was relevant to my role 3	This topic was relevant to my role 4	This topic was relevant to my role 5

Question Title

* 11. Did the presentations and materials meet the following objectives?
1. Review the definition of Opioid Use Disorder (OUD) and SUD.
2. Review the types of treatment.
3. Review of case study and application of information.

Yes

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* 12. After attending this session, do you intend to change your practice behavior?

Yes

I need more information before I will change my practice

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* 13. After attending this session, I have the ability to apply the skills learned in my role.

Yes

N/A

Pain Care for People With Opioid Use Disorder Learning Series
Session 1: Understanding Opioid Use Disorder & Treatment Options Evaluation

Post Training Evaluation

Question Title

* 1. Personal Information

Question Title

* 2. Please choose your organization from the choices below:

Question Title

* 3. Please choose your role:

Question Title

* 4. After attending this session, please indicate your confidence in managing pain care for people with Opioid Use Disorder (OUD).

Question Title

* 5. On a scale of 1-5, how would you rate this training overall? (Scale: 1=very dissatifed & 5=very satisfied)

Question Title

* 6. What did you like most about this session?

Question Title

* 7. What did you like least about this session?

Question Title

* 8. Do you have specific suggestions as to how this learning activity might be improved?

Question Title

* 9. Did you feel the content was:

Question Title

* 10. Please provide your impressions about Eva Quirion, FNP, PhD's presentation by rating each category on a scale of 1-5 where:

1=VERY POOR
2=POOR
3=AVERAGE
4=GOOD
5=EXCELLENT

Question Title

* 11. Did the presentations and materials meet the following objectives?
1. Review the definition of Opioid Use Disorder (OUD) and SUD.
2. Review the types of treatment.
3. Review of case study and application of information.

Question Title

* 12. After attending this session, do you intend to change your practice behavior?

Question Title

* 13. After attending this session, I have the ability to apply the skills learned in my role.

Question Title

* 14. What new abilities/strategies have you gained from this training?

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* 15. Was the information/material presented in this learning activity free from commercial bias?

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* 16. If you answered no to the above question, please explain.

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* 17. Additional Comments:

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* 1. Personal Information

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* 2. Please choose your organization from the choices below:

Question Title

* 3. Please choose your role:

Question Title

* 4. After attending this session, please indicate your confidence in managing pain care for people with Opioid Use Disorder (OUD).

Question Title

* 5. On a scale of 1-5, how would you rate this training overall? (Scale: 1=very dissatifed & 5=very satisfied)

Question Title

* 6. What did you like most about this session?

Question Title

* 7. What did you like least about this session?

Question Title

* 8. Do you have specific suggestions as to how this learning activity might be improved?

Question Title

* 9. Did you feel the content was:

Question Title

* 10. Please provide your impressions about Eva Quirion, FNP, PhD's presentation by rating each category on a scale of 1-5 where:1=VERY POOR2=POOR3=AVERAGE4=GOOD5=EXCELLENT

Question Title

* 11. Did the presentations and materials meet the following objectives?1. Review the definition of Opioid Use Disorder (OUD) and SUD.2. Review the types of treatment.3. Review of case study and application of information.

Question Title

* 12. After attending this session, do you intend to change your practice behavior?

Question Title

* 13. After attending this session, I have the ability to apply the skills learned in my role.

Question Title

* 14. What new abilities/strategies have you gained from this training?

Question Title

* 15. Was the information/material presented in this learning activity free from commercial bias?

Question Title

* 16. If you answered no to the above question, please explain.

Question Title

* 17. Additional Comments:

* 10. Please provide your impressions about Eva Quirion, FNP, PhD's presentation by rating each category on a scale of 1-5 where:

1=VERY POOR
2=POOR
3=AVERAGE
4=GOOD
5=EXCELLENT

* 11. Did the presentations and materials meet the following objectives?
1. Review the definition of Opioid Use Disorder (OUD) and SUD.
2. Review the types of treatment.
3. Review of case study and application of information.