Kaiser HEAL Learning Community Evaluation

HEAL Zone Initiative Semi-Annual Learning Community and Initiative Launch Feedback Form

Thank you for attending today’s meeting. Please let us know about your experience by responding to the items below.

Question Title

* 1. Please rate the following aspects of today’s meeting:

	Poor	Fair	Good	Excellent	N/A
Organization of the meeting	Organization of the meeting Poor	Organization of the meeting Fair	Organization of the meeting Good	Organization of the meeting Excellent	Organization of the meeting N/A
Learning aides (PowerPoint and/or handouts)	Learning aides (PowerPoint and/or handouts) Poor	Learning aides (PowerPoint and/or handouts) Fair	Learning aides (PowerPoint and/or handouts) Good	Learning aides (PowerPoint and/or handouts) Excellent	Learning aides (PowerPoint and/or handouts) N/A
The activities (exercises and discussion) were…	The activities (exercises and discussion) were… Poor	The activities (exercises and discussion) were… Fair	The activities (exercises and discussion) were… Good	The activities (exercises and discussion) were… Excellent	The activities (exercises and discussion) were… N/A
The extent to which the meeting objectives were met	The extent to which the meeting objectives were met Poor	The extent to which the meeting objectives were met Fair	The extent to which the meeting objectives were met Good	The extent to which the meeting objectives were met Excellent	The extent to which the meeting objectives were met N/A
Relevance of this meeting for my work	Relevance of this meeting for my work Poor	Relevance of this meeting for my work Fair	Relevance of this meeting for my work Good	Relevance of this meeting for my work Excellent	Relevance of this meeting for my work N/A
The meeting overall	The meeting overall Poor	The meeting overall Fair	The meeting overall Good	The meeting overall Excellent	The meeting overall N/A

Question Title

* 2. Please rate the logistics of today’s meeting:

	Poor	Fair	Good	Excellent	N/A
Access to location	Access to location Poor	Access to location Fair	Access to location Good	Access to location Excellent	Access to location N/A
Quality of pre-conference registration process	Quality of pre-conference registration process Poor	Quality of pre-conference registration process Fair	Quality of pre-conference registration process Good	Quality of pre-conference registration process Excellent	Quality of pre-conference registration process N/A
Quality of hotel	Quality of hotel Poor	Quality of hotel Fair	Quality of hotel Good	Quality of hotel Excellent	Quality of hotel N/A
Overall rating of logistics	Overall rating of logistics Poor	Overall rating of logistics Fair	Overall rating of logistics Good	Overall rating of logistics Excellent	Overall rating of logistics N/A

Question Title

* 3. How useful was this conference for you as:

	Not Useful	Somewhat Useful	Useful	Very Useful	N/A
An opportunity to network?	An opportunity to network? Not Useful	An opportunity to network? Somewhat Useful	An opportunity to network? Useful	An opportunity to network? Very Useful	An opportunity to network? N/A
An opportunity to learn?	An opportunity to learn? Not Useful	An opportunity to learn? Somewhat Useful	An opportunity to learn? Useful	An opportunity to learn? Very Useful	An opportunity to learn? N/A
An opportunity to reflect?	An opportunity to reflect? Not Useful	An opportunity to reflect? Somewhat Useful	An opportunity to reflect? Useful	An opportunity to reflect? Very Useful	An opportunity to reflect? N/A
A chance to be energized?	A chance to be energized? Not Useful	A chance to be energized? Somewhat Useful	A chance to be energized? Useful	A chance to be energized? Very Useful	A chance to be energized? N/A

Question Title

* 4. Please indicate your agreement with each statement regarding the workshop:

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
I understand the expected outcomes for the planning phase	I understand the expected outcomes for the planning phase Strongly Disagree	I understand the expected outcomes for the planning phase Disagree	I understand the expected outcomes for the planning phase Agree	I understand the expected outcomes for the planning phase Strongly Agree	I understand the expected outcomes for the planning phase N/A
I have a better understanding of the HEAL Zone design principles	I have a better understanding of the HEAL Zone design principles Strongly Disagree	I have a better understanding of the HEAL Zone design principles Disagree	I have a better understanding of the HEAL Zone design principles Agree	I have a better understanding of the HEAL Zone design principles Strongly Agree	I have a better understanding of the HEAL Zone design principles N/A
I understand the role of Kaiser in this initiative	I understand the role of Kaiser in this initiative Strongly Disagree	I understand the role of Kaiser in this initiative Disagree	I understand the role of Kaiser in this initiative Agree	I understand the role of Kaiser in this initiative Strongly Agree	I understand the role of Kaiser in this initiative N/A
I understand the role of Community Partners in this initiative	I understand the role of Community Partners in this initiative Strongly Disagree	I understand the role of Community Partners in this initiative Disagree	I understand the role of Community Partners in this initiative Agree	I understand the role of Community Partners in this initiative Strongly Agree	I understand the role of Community Partners in this initiative N/A
I understand the role of The Center of Community Health and Evaluation (CCHE) in this initiative.	I understand the role of The Center of Community Health and Evaluation (CCHE) in this initiative. Strongly Disagree	I understand the role of The Center of Community Health and Evaluation (CCHE) in this initiative. Disagree	I understand the role of The Center of Community Health and Evaluation (CCHE) in this initiative. Agree	I understand the role of The Center of Community Health and Evaluation (CCHE) in this initiative. Strongly Agree	I understand the role of The Center of Community Health and Evaluation (CCHE) in this initiative. N/A
I had an opportunity to network and learn from others	I had an opportunity to network and learn from others Strongly Disagree	I had an opportunity to network and learn from others Disagree	I had an opportunity to network and learn from others Agree	I had an opportunity to network and learn from others Strongly Agree	I had an opportunity to network and learn from others N/A
I feel motivated to begin planning	I feel motivated to begin planning Strongly Disagree	I feel motivated to begin planning Disagree	I feel motivated to begin planning Agree	I feel motivated to begin planning Strongly Agree	I feel motivated to begin planning N/A