Wheelchair Service Delivery Guide 11.08.16 Question Title * 1. Please complete the following information: First Name Last Name Email Question Title * 2. Today's Date (mm/dd/yyyy) Question Title * 3. Location Live Webinar On Demand Question Title * 4. Program ID Wheelchair Service Delivery Guide 11.10.16 Question Title * 5. CEU .1 Question Title * 6. How did you learn about this NRRTS webinars? NRRTS Email NRRTS Website NRRTS Directions Magazine Social Media Internal Communication Question Title * 7. Overall, I rate the webinar as (5=highest, 1=lowest) 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 8. Webinar was well planned. 5 - Excellent 4 - Satisfactory 3 - Good 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Satisfactory 3 - Good 2 - Less than Satisfactory 1 - Poor Question Title * 9. Handouts were useful. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 10. Learning objectives were outlined. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 11. Presenter was prepared to present content. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 12. Presenter was knowledgeable. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 13. Presenter’s teaching style was appropriate. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 14. Presenter provided opportunities to ask questions. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 15. Presenter provided contact information 5 4 3 2 1 5 4 3 2 1 Question Title * 16. Did the instructor provide feedback on the mastery of the learning outcomes to the learners Yes No Webinar setting, therefore feedback will occur after I complete the post-test. Question Title * 17. Objective #1: The participant will be able to list the 9 components of the wheelchair service delivery guide. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 18. Objective #2: The participant will be able to describe updates to the literature as it relates to the wheelchair service delivery process 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 19. Objective #3: The participant will be able to compare and contrast the application of the guide to different service delivery models 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 20. Objective #4: The participant will be able to apply the wheelchair service delivery model to a case example. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Please consider each test question carefully. You must score 70% to receive .1 CEU. Question Title * 21. Test Q1. The four components of assistive technology include the following: a. Device b. Strategy c. Practice d. All of the above Question Title * 22. Test Q2. The three components of evidence based practice include the following: a. Outcome Measurement, Individual Evidence, External Evidence b. Professional Experience, Assessment, External Evidence c. Outcome Measurement, Individual Evidence, Assessment d. Professional Experience, Individual Evidence, External Evidence Question Title * 23. Test Q3. The types of outcome measure include the following: a. Human Activity Assistive Technology (HAAT), Functional Performance, International Classification of Function Disability and Health (ICF) b. User Satisfaction, Functional Performance, Quality of Life c. User Satisfaction, Functional Performance, International Classification of Function Disability and Health (ICF) d. Human Activity Assistive Technology (HAAT), User Satisfaction, Quality of Life Question Title * 24. Test Q4. The Wheelchair Service Provision Guide includes the following components except: a. Assessment b. Product Preparation c. Fitting, Training and Delivery d. Policy Question Title * 25. Test Q5. Which of the following journal articles do not describe a wheelchair or assistive technology service delivery process? a. Lenker, J. A., & Paquet, V. L. (2004). A new conceptual model for assistive technology outcomes research and practice. Assistive Technology: The Official Journal of RESNA, 16(1), 1–10. https://doi.org/10.1080/10400435.2004.10132069 b. Eggers, S. L., Myaskovsky, L., Burkitt, K. H., Tolerico, M., Switzer, G. E., Fine, M. J., & Boninger, M. L. (2009). A preliminary model of wheelchair service delivery. Arch Phys Med Rehabil, 90(6), 1030–8. https://doi.org/10.1016/j.apmr.2008.12.007 c. Cook, A. M., & Polgar, J. M. (2008). Delivering Assistive Technology Services to the Consumer. In Cook & Hussey’s Assistive Technologies: Principles and Practice (Vol. 3rd, pp. 91–142; 4). St. Louis, MO: Mosby, Inc. d. Armstrong, W., Borg, J., Krizack, M., Lindsley, A., Mines, K., Pearlman, J., … Sheldon, S. (2008). Guidelines on the provision of manual wheelchairs in less-resourced settings. (G. Bardsley, M. Krizack, A. Munish, K. D. Reisinger, S. Sheldon, J. Borg, … W. L. C.-P. Data, Eds.). Geveva, Switzerland: World Health Organization. Question Title * 26. Please share any comments or suggestions for improving this webinar Question Title * 27. Please share any topic ideas for future webinars. Question Title * 28. What is your role in the CRT Industry? Supplier Manufacturer Physical Therapist Occupational Therapist Other (please specify) Done