2022 INAAP Conference Speaker/Topic Evaluation Form

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Credentials (MD, NP, RN, Etc.)

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* 5. City

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* 6. State

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* 7. Zip Code

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* 8. What credit do you wish to claim? (check all that apply)

CME Credit

MOC Part II Credit

ANCC Credit

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* 9. Which sessions did you attend?

Social Determinants of Health Panel

Childhood Obesity: The Effects of the Pandemic and Other Updates

“Tough Love is For Your Mama”
Tackling Stigma Towards Parents and
Caregivers with Substance Use Disorder

Follow Up Care for the Neonatal Intensive Care Graduate

Indiana Department of Health Roadmap

Best Practices in Mental Health Care for Children and Adolescents – Common Questions and How a Phone Line Can Help!

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* 10. Were the learning objectives of each session achieved?

Yes

If No, which sessions failed to achieve their objections?

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* 11. Based on what you learned at this conference, do you plan to change the strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

Yes

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* 12. Based on what you learned in this activity, do you plan to change what you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

Yes

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* 13. If you selected NO to either of the above questions and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

Systems-related barriers

The activity reinforced what I am already doing in practice

No practice changes were recommended

Changes were not appropriate options for my practice

Other (please specify)

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* 14. Name one thing you plan to change about your practice based on what you learned at this conference.

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* 15. Would you recommend this conference to a colleague based on its impact on your practice/patient care?

Yes

Please indicate how effective the speaker(s) were for each of the following topics:

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* 16. Social Determinants of Health Panel

Needs Improvement

Average

Excellent

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 17. Any advice for the speaker(s)?

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* 18. Childhood Obesity: The Effects of the Pandemic and Other Updates

Needs Improvement

Average

Excellent

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 19. Any advice for the speaker(s)?

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* 20. “Tough Love is For Your Mama”
Tackling Stigma Towards Parents and
Caregivers with Substance Use Disorder

Needs Improvement

Average

Excellent

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 21. Any advice for the speaker(s)?

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* 22. Follow Up Care for the Neonatal Intensive Care Graduate

Needs Improvement

Average

Excellent

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 23. Any advice for the speaker(s)?

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* 24. Indiana Department of Health Roadmap

Needs Improvement

Average

Excellent

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 25. Any advice for the speaker(s)?

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* 26. Best Practices in Mental Health Care for Children and Adolescents – Common Questions and How a Phone Line Can Help!

Needs Improvement

Average

Excellent

Clear

i We adjusted the number you entered based on the slider’s scale.

2022 INAAP Conference Speaker/Topic Evaluation Form

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email

Question Title

* 4. Credentials (MD, NP, RN, Etc.)

Question Title

* 5. City

Question Title

* 6. State

Question Title

* 7. Zip Code

Question Title

* 8. What credit do you wish to claim? (check all that apply)

Question Title

* 9. Which sessions did you attend?

Question Title

* 10. Were the learning objectives of each session achieved?

Question Title

* 11. Based on what you learned at this conference, do you plan to change the strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

Question Title

* 12. Based on what you learned in this activity, do you plan to change what you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

Question Title

* 13. If you selected NO to either of the above questions and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

Question Title

* 14. Name one thing you plan to change about your practice based on what you learned at this conference.

Question Title

* 15. Would you recommend this conference to a colleague based on its impact on your practice/patient care?

Question Title

* 16. Social Determinants of Health Panel

Question Title

* 17. Any advice for the speaker(s)?

Question Title

* 18. Childhood Obesity: The Effects of the Pandemic and Other Updates

Question Title

* 19. Any advice for the speaker(s)?

Question Title

* 20. “Tough Love is For Your Mama” Tackling Stigma Towards Parents andCaregivers with Substance Use Disorder

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* 21. Any advice for the speaker(s)?

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* 22. Follow Up Care for the Neonatal Intensive Care Graduate

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* 23. Any advice for the speaker(s)?

Question Title

* 24. Indiana Department of Health Roadmap

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* 25. Any advice for the speaker(s)?

Question Title

* 26. Best Practices in Mental Health Care for Children and Adolescents – Common Questions and How a Phone Line Can Help!

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* 27. Any advice for the speaker(s)?

* 20. “Tough Love is For Your Mama”
Tackling Stigma Towards Parents and
Caregivers with Substance Use Disorder