Timely Topics Breakout: Fostering Caregiver Wellness

EVALUATION FORM

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* 1. Rate the session overall.

Excellent

Above Average

Average

Below Average

Poor

Excellent

Above Average

Average

Below Average

Poor

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* 2. As a result of my participation in this activity, I am better able to:

	Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree
Discuss two defining characteristics of service vs. servitude.	Discuss two defining characteristics of service vs. servitude. Strongly Agree	Discuss two defining characteristics of service vs. servitude. Agree	Discuss two defining characteristics of service vs. servitude. Undecided	Discuss two defining characteristics of service vs. servitude. Disagree	Discuss two defining characteristics of service vs. servitude. Strongly Disagree
Discuss two attributes of defusing/debriefing to learn.	Discuss two attributes of defusing/debriefing to learn. Strongly Agree	Discuss two attributes of defusing/debriefing to learn. Agree	Discuss two attributes of defusing/debriefing to learn. Undecided	Discuss two attributes of defusing/debriefing to learn. Disagree	Discuss two attributes of defusing/debriefing to learn. Strongly Disagree
List two types of horizontal violence that can be seen between birth workers.	List two types of horizontal violence that can be seen between birth workers. Strongly Agree	List two types of horizontal violence that can be seen between birth workers. Agree	List two types of horizontal violence that can be seen between birth workers. Undecided	List two types of horizontal violence that can be seen between birth workers. Disagree	List two types of horizontal violence that can be seen between birth workers. Strongly Disagree
Discuss two aspects of self-compassion.	Discuss two aspects of self-compassion. Strongly Agree	Discuss two aspects of self-compassion. Agree	Discuss two aspects of self-compassion. Undecided	Discuss two aspects of self-compassion. Disagree	Discuss two aspects of self-compassion. Strongly Disagree

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* 3. The speaker(s) demonstrated experiential knowledge on the topic.

	Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree
Julie Moon, MS, CNM	Julie Moon, MS, CNM Strongly Agree	Julie Moon, MS, CNM Agree	Julie Moon, MS, CNM Undecided	Julie Moon, MS, CNM Disagree	Julie Moon, MS, CNM Strongly Disagree
Olga Ryan, RN, MS-NL	Olga Ryan, RN, MS-NL Strongly Agree	Olga Ryan, RN, MS-NL Agree	Olga Ryan, RN, MS-NL Undecided	Olga Ryan, RN, MS-NL Disagree	Olga Ryan, RN, MS-NL Strongly Disagree

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* 4. The content provided a fair and balanced coverage of the topic

Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree

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* 5. The content was free of commercial bias.

Yes

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* 6. Rate the organization of the program material.

Excellent

Above Average

Average

Below Average

Poor

Excellent

Above Average

Average

Below Average

Poor

Timely Topics Breakout: Fostering Caregiver Wellness

EVALUATION FORM

Question Title

* 1. Rate the session overall.

Question Title

* 2. As a result of my participation in this activity, I am better able to:

Question Title

* 3. The speaker(s) demonstrated experiential knowledge on the topic.

Question Title

* 4. The content provided a fair and balanced coverage of the topic

Question Title

* 5. The content was free of commercial bias.

Question Title

* 6. Rate the organization of the program material.

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* 7. What part of the program provided the most useful information?

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* 8. What additional information would have been helpful?

Question Title

* 9. Additional comments.