* 1. Please type your name so we can appropriately list this on your certificate:

* 2. Please enter your email address so we can appropriately route your certificate. This information will be used solely by Kramer School of Nursing, and will not be released for any commercial purposes.

* 3. What is your gender?

* 4. Please indicate your present age range:

* 5. How do you characterize your race or ethnicity?

* 6. Is your most recent primary residence in an urban or in a rural area?

Urban: a central city or the surrounding densely settled territory that together have a population of 50,000 or more and a population density generally exceeding 1,000 people per square mile.

Rural: an area less densely populated than the above definition

* 7. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 8. Are you currently a registered nurse (RN)?

* 9. Please indicate your highest level of education attained:

* 10. Please indicate your current student status:

* 11. Regarding the session entitled “Part I: Quality Assurance Stratigies for Program and Course Development: The Foundation for Meeting Student Outcomes" by Kathy Tally, MS, please rank the following statements about the presentation.

The objectives of this session were:
1. Identify standars to assure quality online course development.
2. Analyze quality assurance models to guide online, hybrid, and courses with a web component.

  Agree Strongly Agree Somewhat No Opinion Disagree Somewhat Disagree Strongly
The session met stated objective #1.
The session met stated objective #2.
The objectives of this presentation are congruent with the purpose of this conference.
The presenter was knowledgeable about the subject.
Teaching strategies used in this presentation were effective.
This presentation was presented free of bias and commercial interference.
My practice as a nurse has been enhanced by this presentation.

* 12. Regarding the session entitled “Part II: Flipping the Classroom: Stratigies That Move Students to Higher Levels of Learning and Maximize Engagement" by Kathy Tally, MS, and Cindy Bradley, MSN, RN please rank the following statements about the presentation.

The objectives of this session were:
1. Identify stratigies that facilitate higher level learning and engagement.
2. Explore tools used to facilitate a flipped classroom.
3. Create flipped educational products.
4. Develop a plan that aligns objectives, resources, assessments, and student engagement modalities for a flipped model.

  Agree Strongly Agree Somewhat No Opinion Disagree Somewhat Disagree Strongly
The session met stated objective #1.
The session met stated objective #2.
The session met stated objective #3.
The session met stated objective #4.
The objectives of this presentation are congruent with the purpose of this conference.
The presenter was knowledgeable about the subject.
Teaching strategies used in this presentation were effective.
This presentation was presented free of bias and commercial interference.
My practice as a nurse has been enhanced by this presentation.

* 13. Concerning your experience today, please rate the following statement.

  Agree Strongly Agree Somewhat No Opinion Disagree Somewhat Disagree Strongly
Facilities for this conference were adequate.

* 14. Please feel free to provide comments regarding today's conference or suggestions for future conferences.

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