Increasing Tdap Immunization Rates for OBs EVALUATION

Please complete this evaluation to help us know if our objectives were met.

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* 1. Your Professional Affiliation

OB only

GYN only

OBGYN

Family physician

Nurse practitioner

Midwife

Medical Assistant

Office Manager

Health Educator

Other (please specify)

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* 2. County where you practice/work

	County Name
Choose from dropdown list.	Choose from dropdown list. County Name menu

Other (please specify)

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* 3. After attending this program, I am able to

	yes	partially	no
1) Describe the current ACIP/ACOG recommendation for Tdap for pregnant women the rationale behind it.	1) Describe the current ACIP/ACOG recommendation for Tdap for pregnant women the rationale behind it. yes	1) Describe the current ACIP/ACOG recommendation for Tdap for pregnant women the rationale behind it. partially	1) Describe the current ACIP/ACOG recommendation for Tdap for pregnant women the rationale behind it. no
2) List 2 strategies you can apply to implement a Tdap program in your prenatal practice.	2) List 2 strategies you can apply to implement a Tdap program in your prenatal practice. yes	2) List 2 strategies you can apply to implement a Tdap program in your prenatal practice. partially	2) List 2 strategies you can apply to implement a Tdap program in your prenatal practice. no
3) Communicate at least 2 key training resources to medical assistants and other office staff on vaccine administration and vaccine storage and handling.	3) Communicate at least 2 key training resources to medical assistants and other office staff on vaccine administration and vaccine storage and handling. yes	3) Communicate at least 2 key training resources to medical assistants and other office staff on vaccine administration and vaccine storage and handling. partially	3) Communicate at least 2 key training resources to medical assistants and other office staff on vaccine administration and vaccine storage and handling. no

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* 4. As a result of this webinar, I am better able to make an effective Tdap recommendation to my pregnant patients.

strongly agree

agree

neutral

disagree

strongly disagree

Not Applicable

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* 5. This webinar offered practical tips that I can readily implement into my practice’s immunization program.

strongly agree

agree

neutral

disagree

strongly disagree

Not Applicable

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* 6. As a result of this webinar, I will utilize patient educational materials from the California Department of Public Health.

strongly agree

agree

neutral

disagree

strongly disagree

Not Applicable

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* 7. Would you recommend this webinar to a colleague?

Yes

Not sure

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* 1. Your Professional Affiliation

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* 2. County where you practice/work

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* 3. After attending this program, I am able to

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* 4. As a result of this webinar, I am better able to make an effective Tdap recommendation to my pregnant patients.

Question Title

* 5. This webinar offered practical tips that I can readily implement into my practice’s immunization program.

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* 6. As a result of this webinar, I will utilize patient educational materials from the California Department of Public Health.

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* 7. Would you recommend this webinar to a colleague?

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* 8. Please share any comments or questions you have on the webinar. Your feedback is important to us!