EVALUATION FORM

In order to improve the quality of our next program, we would appreciate receiving your feedback. 

Please feel free to make comments.  We thank you for your cooperation.

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* 1. On a scale of 1 (poor) to 5 (excellent), how well were you able to achieve the session objectives?

  1 2 3 4 5 N/A
A. Identify barriers to access to high quality midwifery model care for some potential clients.
B. Discuss specific challenges for birth centers when caring for Medicaid populations.
C. List components of birth center care that impact outcomes for clients who are Medicaid recipients.
D. Relate three outcomes of the Strong Start project that show promise for maternal infant health in the U.S.

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* 2. On a scale of 1 (poor) to 5 (excellent), please rate the TEACHING EFFECTIVENESS of the presenter.

  1 2 3 4 5 N/A
A. Jill Alliman, DNP, CNM, FACNM
B. Caitlin Cross-Barnet, PhD
C. Ian Hill, MPA, MSW
D. Ann McCarthy, MSN, CNM

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* 3. On a scale of 1 (poor) to 5 (excellent), please rate the effectiveness of the TEACHING METHODS used.

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* 4. On a scale of 1 (poor) to 5 (excellent), please rate how well was the PROGRAM MATERIAL ORGANIZED.

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* 5. On a scale of 1 (poor) to 5 (excellent), please rate the session OVERALL.

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* 6. What part of the program provided the most helpful information?

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* 7. What additional information would have been helpful?

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* 8. Additional comments

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* 9. Name (submit if applying for continuing education)

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* 10. Email (optional)

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