Winter 2024 Geriatric Healthcare Series: Evaluation Survey
Please fill out an anonymous survey for each lecture. Use this same link throughout the series.
Should you have any trouble filling this out, please contact
nwgwec@uw.edu
.
*
1.
What state do you live in?
(Required.)
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other (please specify)
*
2.
Are you part of VA VISN 20 (AK, WA, ID, OR)?
(Required.)
Yes
No
*
3.
Please select what lecture.
(Required.)
1/4 - Age Friendly Healthcare: What Matters (Katherine Ritchey, DO, MPH)
1/11 - Vitamins & Supplements (Lingtak-Neander Chan, PharmD, BCNSP)
1/18 - Pulmonary Infections (Paula Carvalho, MD, FCCP; Supaksh Gupta, MD)
1/25 - HIV (Jehan Budak, MD)
2/1 - Oral Health (Susanne Kolare Jeffrey, DDS, PhD)
2/8 - Foot Care (Julia Overstreet, DPM, FAPWCA)
2/15 - Coronary Artery Disease (Michael Chen, MD, PhD, FACC)
2/22 - Occupational Therapy (Gina Tucker-Roghi, OTD, OTR/L, BCG; Sarah Foidel, OTD, OTR/L)
2/29 - Nuances in Determining Decisional Capacity (Lisa Vig, MD, MPH)
3/7 - Older Adults who are Homeless (Michael Light, MSW, MPH, LICSW, LMP, APHSW-C; Ian Johnson, LCSW, PhD)
4.
How would you rate the following?
1 (Low)
2
3
4
5 (High)
Overall satisfaction with the instructor
1 (Low)
2
3
4
5 (High)
Satisfaction with the course materials
1 (Low)
2
3
4
5 (High)
Satisfaction with the overall educational experience
1 (Low)
2
3
4
5 (High)
5.
BEFORE
this lecture, I rate my ___________________ for this lecture's topic
1 (Low)
2
3
4
5 (High)
Knowledge
1 (Low)
2
3
4
5 (High)
Confidence
1 (Low)
2
3
4
5 (High)
6.
AFTER
this lecture, I rate my ________________ for this lecture's topic
1 (Low)
2
3
4
5 (High)
Knowledge
1 (Low)
2
3
4
5 (High)
Confidence
1 (Low)
2
3
4
5 (High)
7.
As a result of this session, do you plan to do anything differently in how you practice geriatric healthcare?
Yes
No
8.
If YES, what would you plan to change?
9.
Do you have comments about this lecture or suggestions for future geriatric education topics / speakers?
Send me a copy of my responses via email
