1 Start 2 Complete How would you rate this activity overall? * Excellent Very Good Good Fair Poor Please rate the comments below about the overall activity: * Strongly AgreeAgreeNeutralDisagreeStrongly Disagree The content fulfills the overall purpose of the activity. The content fulfills the overall purpose of the activity. - Strongly Agree The content fulfills the overall purpose of the activity. - Agree The content fulfills the overall purpose of the activity. - Neutral The content fulfills the overall purpose of the activity. - Disagree The content fulfills the overall purpose of the activity. - Strongly Disagree The content was thorough, relevant and accurate. The content was thorough, relevant and accurate. - Strongly Agree The content was thorough, relevant and accurate. - Agree The content was thorough, relevant and accurate. - Neutral The content was thorough, relevant and accurate. - Disagree The content was thorough, relevant and accurate. - Strongly Disagree The ideas and practices taught in this session were new to me. The ideas and practices taught in this session were new to me. - Strongly Agree The ideas and practices taught in this session were new to me. - Agree The ideas and practices taught in this session were new to me. - Neutral The ideas and practices taught in this session were new to me. - Disagree The ideas and practices taught in this session were new to me. - Strongly Disagree The subject matter is accurate. The subject matter is accurate. - Strongly Agree The subject matter is accurate. - Agree The subject matter is accurate. - Neutral The subject matter is accurate. - Disagree The subject matter is accurate. - Strongly Disagree The topic and content were relevant to my practice. The topic and content were relevant to my practice. - Strongly Agree The topic and content were relevant to my practice. - Agree The topic and content were relevant to my practice. - Neutral The topic and content were relevant to my practice. - Disagree The topic and content were relevant to my practice. - Strongly Disagree I would recommend this activity to a colleague. I would recommend this activity to a colleague. - Strongly Agree I would recommend this activity to a colleague. - Agree I would recommend this activity to a colleague. - Neutral I would recommend this activity to a colleague. - Disagree I would recommend this activity to a colleague. - Strongly Disagree I would like to learn more about the topic presented in this webinar. I would like to learn more about the topic presented in this webinar. - Strongly Agree I would like to learn more about the topic presented in this webinar. - Agree I would like to learn more about the topic presented in this webinar. - Neutral I would like to learn more about the topic presented in this webinar. - Disagree I would like to learn more about the topic presented in this webinar. - Strongly Disagree Please rate the comments below about the presenters for this activity: * Strongly AgreeAgreeNeutralDisagreeStrongly Disagree The speaker’s presentation skills were effective. The speaker’s presentation skills were effective. - Strongly Agree The speaker’s presentation skills were effective. - Agree The speaker’s presentation skills were effective. - Neutral The speaker’s presentation skills were effective. - Disagree The speaker’s presentation skills were effective. - Strongly Disagree The presenter demonstrated expertise in the subject matter. The presenter demonstrated expertise in the subject matter. - Strongly Agree The presenter demonstrated expertise in the subject matter. - Agree The presenter demonstrated expertise in the subject matter. - Neutral The presenter demonstrated expertise in the subject matter. - Disagree The presenter demonstrated expertise in the subject matter. - Strongly Disagree The presenter(s) actively engaged learners during the activity. The presenter(s) actively engaged learners during the activity. - Strongly Agree The presenter(s) actively engaged learners during the activity. - Agree The presenter(s) actively engaged learners during the activity. - Neutral The presenter(s) actively engaged learners during the activity. - Disagree The presenter(s) actively engaged learners during the activity. - Strongly Disagree Please rate the impact of this activity on your knowledge, competence, performance, and patient outcomes. * Strongly AgreeAgreeNeutralDisagreeStrongly Disagree Increased my knowledge Increased my knowledge - Strongly Agree Increased my knowledge - Agree Increased my knowledge - Neutral Increased my knowledge - Disagree Increased my knowledge - Strongly Disagree Increased my competence Increased my competence - Strongly Agree Increased my competence - Agree Increased my competence - Neutral Increased my competence - Disagree Increased my competence - Strongly Disagree Improved my performance Improved my performance - Strongly Agree Improved my performance - Agree Improved my performance - Neutral Improved my performance - Disagree Improved my performance - Strongly Disagree Improved patient outcomes Improved patient outcomes - Strongly Agree Improved patient outcomes - Agree Improved patient outcomes - Neutral Improved patient outcomes - Disagree Improved patient outcomes - Strongly Disagree Please identify how you will change your practice as a result of participating in this activity. (Select all that apply). * This activity validated my current practice; no changes will be made Change the management and/or treatment of my patients Create/revise protocols, policies, and/or procedures This activity will not change my practice Other Please identify how you will change your practice as a result of participating in this activity. (Select all that apply). Other Please rate the comments below about the format of the activity: * Strongly AgreeAgreeNeutralDisagreeStrongly Disagree I was able to access the course with very little technical difficulty. I was able to access the course with very little technical difficulty. - Strongly Agree I was able to access the course with very little technical difficulty. - Agree I was able to access the course with very little technical difficulty. - Neutral I was able to access the course with very little technical difficulty. - Disagree I was able to access the course with very little technical difficulty. - Strongly Disagree I was able to access and use (if desired) the handouts. I was able to access and use (if desired) the handouts. - Strongly Agree I was able to access and use (if desired) the handouts. - Agree I was able to access and use (if desired) the handouts. - Neutral I was able to access and use (if desired) the handouts. - Disagree I was able to access and use (if desired) the handouts. - Strongly Disagree The content was provided in an easy-to-read format. The content was provided in an easy-to-read format. - Strongly Agree The content was provided in an easy-to-read format. - Agree The content was provided in an easy-to-read format. - Neutral The content was provided in an easy-to-read format. - Disagree The content was provided in an easy-to-read format. - Strongly Disagree The course instructions (online guidance, handouts, etc.) were clear. The course instructions (online guidance, handouts, etc.) were clear. - Strongly Agree The course instructions (online guidance, handouts, etc.) were clear. - Agree The course instructions (online guidance, handouts, etc.) were clear. - Neutral The course instructions (online guidance, handouts, etc.) were clear. - Disagree The course instructions (online guidance, handouts, etc.) were clear. - Strongly Disagree This course was organized in a way that helped me learn. This course was organized in a way that helped me learn. - Strongly Agree This course was organized in a way that helped me learn. - Agree This course was organized in a way that helped me learn. - Neutral This course was organized in a way that helped me learn. - Disagree This course was organized in a way that helped me learn. - Strongly Disagree Did you find this activity free of commercial bias? * Commercial bias is defined as information presented in a manner that attempts to sway participants' opinions in favor of a particular commercial product for the express purpose of furthering a commercial entity's business. Yes No Approximately how long did it take to complete the activity and this evaluation? * Please enter any suggestions on how to improve this activity. What topics would you recommend for future online activities? * What time of day would you prefer to watch a LIVE webinar based on your general availability? * Morning Lunch Time Early Afternoon Late Afternoon Evening What day of the week would you prefer to watch a LIVE webinar based on your general availability? * Monday Tuesday Wednesday Thursday Friday Facility name where you are employed: * Type of Facility: * Hosp/Med Ctr with Rehab Center Freestanding Rehab Facility Private Company/Private Practice Dept of VA Medical Center Educational Institution Skilled Nursing Facility Sub-Acute Facility Hosp/Med Ctr without Rehab Center LTAC/LTACH (Long Term Acute Care) Home Health Agency State Agency Insurance Company Long-Term Care Facility Other Type of Facility: Other Leave this field blank
