Skip to content
Session #5: Evaluation: Project ECHO® Approaches to Dementia Care
Evaluation results will not be linked to your name or email. If you fill out the CME/CEU request, those responses will be kept separate from your evaluation.
*
1.
What is your role?
(Required.)
MD, DO
NP
PA
Community Health Worker
Pharmacist
Patient Health Navigator
RN
LPN
CNA
Medical Assistant
Nurse Care Manager
Assisted Living/Nursing care team member
Geriatric Case Manager
OT
PT
SLP
Behavioral Health Provider
Social work (LICSW, MSW)
Other (please specify)
*
2.
What is your work setting?
(Required.)
Primary Care setting
Community setting
Care facility / Residential facility
Senior Day Programs facility
Other (please specify)
*
3.
Was this session free from commercial bias?
(Required.)
Yes
No
*
4.
Did the session meet the stated objectives?
(Required.)
Yes
No
*
5.
Please rank your satisfaction with this ECHO session:
(Required.)
Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied
Session 5
Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied
*
6.
How valuable was each feature of this ECHO session:
(Required.)
Very Valuable
Somewhat Valuable
Not Very Valuable
Not Valuable
Subject matter expert presentation (Annie Murphy)
Very Valuable
Somewhat Valuable
Not Very Valuable
Not Valuable
Case presentation
Very Valuable
Somewhat Valuable
Not Very Valuable
Not Valuable
Case response and recommendations from all participants
Very Valuable
Somewhat Valuable
Not Very Valuable
Not Valuable
*
7.
Please rate your knowledge
BEFORE
Session 5:
Support for Dementia Caregivers (what Matters most, Medications, Mobility, Mentation)
(Required.)
Before
this ECHO Session
No knowledge
Before
this ECHO Session
Minimal knowledge
Before
this ECHO Session
Moderate knowledge
Before
this ECHO Session
High knowledge
Identify the challenges around caregiver support / caregiver burden
Before
this ECHO Session
No knowledge
Before
this ECHO Session
Minimal knowledge
Before
this ECHO Session
Moderate knowledge
Before
this ECHO Session
High knowledge
Understand available resources and referral opportunities to support dementia caregivers
Before
this ECHO Session
No knowledge
Before
this ECHO Session
Minimal knowledge
Before
this ECHO Session
Moderate knowledge
Before
this ECHO Session
High knowledge
*
8.
Please rate your knowledge
AFTER
Session 5:
Support for Dementia Caregivers (what Matters most, Medications, Mobility, Mentation)
(Required.)
After
this ECHO Session
No knowledge
After
this ECHO Session
Minimal knowledge
After
this ECHO Session
Moderate knowledge
After
this ECHO Session
High knowledge
Identify the challenges around caregiver support / caregiver burden
After
this ECHO Session
No knowledge
After
this ECHO Session
Minimal knowledge
After
this ECHO Session
Moderate knowledge
After
this ECHO Session
High knowledge
Understand available resources and referral opportunities to support dementia caregivers
After
this ECHO Session
No knowledge
After
this ECHO Session
Minimal knowledge
After
this ECHO Session
Moderate knowledge
After
this ECHO Session
High knowledge
*
9.
What information stood out to you from this session?
(Required.)
*
10.
What did you like most about the session?
(Required.)
*
11.
What did you like least about the session?
(Required.)
*
12.
Describe any aspects of your practice that you feel you can change based on today’s session:
(Required.)
*
13.
What are some barriers to making these changes?
(Required.)
*
14.
Would you like CME/CEU credits for this session?
(Required.)
Yes
No