Cultural Humility and Social Determinants of Health Training Evaluation

We are grateful for your participation and hope that you found the training valuable and informative. Your feedback is essential, please take a few minutes of your time to complete the following evaluation.

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* 1. PRACTICE ENHANCEMENT

	5 - Strongly Agree	4 - Agree	3 - Not Certain	2 - Disagree	1 - Strongly Disagree
This activity will help me improve my professional effectiveness.	This activity will help me improve my professional effectiveness. 5 - Strongly Agree	This activity will help me improve my professional effectiveness. 4 - Agree	This activity will help me improve my professional effectiveness. 3 - Not Certain	This activity will help me improve my professional effectiveness. 2 - Disagree	This activity will help me improve my professional effectiveness. 1 - Strongly Disagree
I will apply the knowledge/skills I learned.	I will apply the knowledge/skills I learned. 5 - Strongly Agree	I will apply the knowledge/skills I learned. 4 - Agree	I will apply the knowledge/skills I learned. 3 - Not Certain	I will apply the knowledge/skills I learned. 2 - Disagree	I will apply the knowledge/skills I learned. 1 - Strongly Disagree

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* 2. INTENDED CHANGES TO PRACTICE

	100%	75%	50%	25%	0%
What degree of confidence do you have that you will employ these strategies in your practice?	What degree of confidence do you have that you will employ these strategies in your practice? 100%	What degree of confidence do you have that you will employ these strategies in your practice? 75%	What degree of confidence do you have that you will employ these strategies in your practice? 50%	What degree of confidence do you have that you will employ these strategies in your practice? 25%	What degree of confidence do you have that you will employ these strategies in your practice? 0%

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* 3. Based upon the information you received from this activity, please list at least two PRACTICE STRATEGIES that you will enhance or implement.

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* 4. Please identify what barriers may exist which you feel would prevent employment of these strategies.

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* 5. QUALITY OF THE ACTIVITY

	5 - Strongly Agree	4 - Agree	3 - Not Certain	2 - Disagree	1 - Strongly Disagree
This activity fulfilled my educational needs.	This activity fulfilled my educational needs. 5 - Strongly Agree	This activity fulfilled my educational needs. 4 - Agree	This activity fulfilled my educational needs. 3 - Not Certain	This activity fulfilled my educational needs. 2 - Disagree	This activity fulfilled my educational needs. 1 - Strongly Disagree
The activity content was effective in helping me achieve my learning objectives.	The activity content was effective in helping me achieve my learning objectives. 5 - Strongly Agree	The activity content was effective in helping me achieve my learning objectives. 4 - Agree	The activity content was effective in helping me achieve my learning objectives. 3 - Not Certain	The activity content was effective in helping me achieve my learning objectives. 2 - Disagree	The activity content was effective in helping me achieve my learning objectives. 1 - Strongly Disagree
The format of the activity was effective in helping me achieve my learning objectives.	The format of the activity was effective in helping me achieve my learning objectives. 5 - Strongly Agree	The format of the activity was effective in helping me achieve my learning objectives. 4 - Agree	The format of the activity was effective in helping me achieve my learning objectives. 3 - Not Certain	The format of the activity was effective in helping me achieve my learning objectives. 2 - Disagree	The format of the activity was effective in helping me achieve my learning objectives. 1 - Strongly Disagree

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* 6. VALUE OF EACH PRESENTATION

	Excellent	Very Good	Satisfactory	Fair	Poor
Introduction	Introduction Excellent	Introduction Very Good	Introduction Satisfactory	Introduction Fair	Introduction Poor
Social Determinants of Health	Social Determinants of Health Excellent	Social Determinants of Health Very Good	Social Determinants of Health Satisfactory	Social Determinants of Health Fair	Social Determinants of Health Poor
Cultural Humility	Cultural Humility Excellent	Cultural Humility Very Good	Cultural Humility Satisfactory	Cultural Humility Fair	Cultural Humility Poor
Recommendations and Conclusion	Recommendations and Conclusion Excellent	Recommendations and Conclusion Very Good	Recommendations and Conclusion Satisfactory	Recommendations and Conclusion Fair	Recommendations and Conclusion Poor

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* 7. QUALITY OF EACH SPEAKER

	Excellent	Very Good	Satisfactory	Fair	Poor
Yolanda Lawson, MD	Yolanda Lawson, MD Excellent	Yolanda Lawson, MD Very Good	Yolanda Lawson, MD Satisfactory	Yolanda Lawson, MD Fair	Yolanda Lawson, MD Poor
Camille Clare, MD, MPH	Camille Clare, MD, MPH Excellent	Camille Clare, MD, MPH Very Good	Camille Clare, MD, MPH Satisfactory	Camille Clare, MD, MPH Fair	Camille Clare, MD, MPH Poor
Maurice Sholas, MD	Maurice Sholas, MD Excellent	Maurice Sholas, MD Very Good	Maurice Sholas, MD Satisfactory	Maurice Sholas, MD Fair	Maurice Sholas, MD Poor
Quinn Capers, MD	Quinn Capers, MD Excellent	Quinn Capers, MD Very Good	Quinn Capers, MD Satisfactory	Quinn Capers, MD Fair	Quinn Capers, MD Poor

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* 8. Additional Comments