1 Start 2 Complete Overall Session Evaluation ExcellentVery GoodGoodFairPoor How would you rate this educational activity overall? How would you rate this educational activity overall? - Excellent How would you rate this educational activity overall? - Very Good How would you rate this educational activity overall? - Good How would you rate this educational activity overall? - Fair How would you rate this educational activity overall? - Poor How relevant to your needs was the information presented? How relevant to your needs was the information presented? - Excellent How relevant to your needs was the information presented? - Very Good How relevant to your needs was the information presented? - Good How relevant to your needs was the information presented? - Fair How relevant to your needs was the information presented? - Poor How well were questions answered? How well were questions answered? - Excellent How well were questions answered? - Very Good How well were questions answered? - Good How well were questions answered? - Fair How well were questions answered? - Poor Was the content of this activity fair, balanced, objective, and free of commercial bias? Yes No Was the content of this activity fair, balanced, objective, and free of commercial bias? No How well were the Learning Objectives of this activity met overall? At the conclusion of this program, participants should be able to: Extremely wellVery wellModerately wellSlightly wellNot well at all tbd tbd - Extremely well tbd - Very well tbd - Moderately well tbd - Slightly well tbd - Not well at all tbd tbd - Extremely well tbd - Very well tbd - Moderately well tbd - Slightly well tbd - Not well at all tbd tbd - Extremely well tbd - Very well tbd - Moderately well tbd - Slightly well tbd - Not well at all Hybrid format feedback What format do you prefer for future sessions? Presenter live on-site with in-room and virtual attendees Presenter live on-site with virtual attendees only Presenter virtual No preference Please share any feedback about the hybrid learning format Please share any additional feedback around the hybrid learning format that may help us plan future sessions Will your participation in this activity have an impact on your practice, leadership, performance, or with your research? Yes No Not Sure Please explain your response to the previous question What is the most important thing you learned by attending this activity and how will it affect you and your practice? What barriers, if any, do you anticipate encountering as you make changes in your practice or professional behavior? Administrative/institutional support Cost Electronic health records Insurance/financial issues Lack of opportunities Lack of resources Lack of staff support No barriers anticipated Patient adherence/resistance Personal/staff lack of experience Restrictive practice guidelines/protocols Staff Resistance to change Time constraints Other... What barriers, if any, do you anticipate encountering as you make changes in your practice or professional behavior? Other... What topics would you like to see next year related to this conference? Speaker Evaluation: Katharine Kalke, Md MBE ExcellentVery GoodGoodFairPoor The speaker provided the information in an effective/interesting manner that facilitated my learning The speaker provided the information in an effective/interesting manner that facilitated my learning - Excellent The speaker provided the information in an effective/interesting manner that facilitated my learning - Very Good The speaker provided the information in an effective/interesting manner that facilitated my learning - Good The speaker provided the information in an effective/interesting manner that facilitated my learning - Fair The speaker provided the information in an effective/interesting manner that facilitated my learning - Poor Presentation was fair, objective, and unbiased toward any product or program Presentation was fair, objective, and unbiased toward any product or program - Excellent Presentation was fair, objective, and unbiased toward any product or program - Very Good Presentation was fair, objective, and unbiased toward any product or program - Good Presentation was fair, objective, and unbiased toward any product or program - Fair Presentation was fair, objective, and unbiased toward any product or program - Poor Overall comments Leave this field blank
