Thank you for completing the following survey

In the spirit of feedback and continuous quality improvement, please take a moment to reflect on this education session and
complete the following evaluation.

Your full name

Question Title

* 1. Your full name

Job title

Question Title

* 2. Job title

Practice Name

Question Title

* 3. Practice Name

Your email address

Question Title

* 4. Your email address

Date of education

Question Title

* 5. Date of education

For questions 5 to 8, please rate the degree to which the program learning objectives were met
Describe the eligibility criteria for the Health Assessment and claiming frequency

Question Title

* 6. Describe the eligibility criteria for the Health Assessment and claiming frequency

Outline the components required for the Health Assessment as per MBS stipulates

Question Title

* 7. Outline the components required for the Health Assessment as per MBS stipulates

Understand the specific assessment tools recommended for this age group

Question Title

* 8. Understand the specific assessment tools recommended for this age group

Identify referral pathways and interventions to improve health and quality of life

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* 9. Identify referral pathways and interventions to improve health and quality of life

One way I will change my practice as a result of participation in this activity is by

Question Title

* 10. One way I will change my practice as a result of participation in this activity is by

Which topics would you like in the future

Question Title

* 11. Which topics would you like in the future

Thank you for attending this session and providing valuable feedback. It will assist us to continually improve our programs.

Webinar attendees can print and complete a Self Recorded Education Form available from the VPHNA website to record
attendance for personal or employer purposes. Certificates of attendance are not provided for recorded webinar participation.

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