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Spring 2023 Geriatric Healthcare Series: Evaluation Survey
Please fill out an anonymous survey for each lecture. Use this same link throughout the series.
Should you have any trouble filling this out, please contact
nwgwec@uw.edu
.
*
1.
What state do you live in?
(Required.)
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other (please specify)
*
2.
Are you part of VA VISN 20 (AK, WA, ID, OR)?
(Required.)
Yes
No
*
3.
Please select what lecture.
(Required.)
3/28 - Disaster Preparedness (Sophia Lopez, CEM, MPS)
4/4 - Stay Connected (Patrick Raue, PhD)
4/11 - Diabetes Mellitus (Abby Winter, PharmD, MPA, BCACP)
4/18 - Area Agencies on Aging (Phung Nguyen, MPA; Felicia Sanchez, BA; Breanne Swanson, MS)
4/25 - Sleep Disorders (David La Fazia, PhD, MSW)
5/2 - Creating Community among LGBTQIA Older Adults (Charles Hoy-Ellis, PhD, MSW)
5/9 - Genitourinary Issues in Older Women (Anna Kirby, MD, MAS)
5/16 - Genitourinary Issues in Older Men (Bruce Dalkin, MD)
5/23 - Fall Prevention: A Primary Care Perspective (Jenny Roraback-Carson, MD; Kristina Cosley, PT, DPT)
5/30 - Medication Use (Leigh Ann Mike, PharmD, BCPS, BCGP)
4.
How would you rate the following?
1 (Low)
2
3
4
5 (High)
Overall satisfaction with the instructor
1 (Low)
2
3
4
5 (High)
Satisfaction with the course materials
1 (Low)
2
3
4
5 (High)
Satisfaction with the overall educational experience
1 (Low)
2
3
4
5 (High)
5.
BEFORE
this lecture, I rate my ___________________ for this lecture's topic
1 (Low)
2
3
4
5 (High)
Knowledge
1 (Low)
2
3
4
5 (High)
Confidence
1 (Low)
2
3
4
5 (High)
6.
AFTER
this lecture, I rate my ________________ for this lecture's topic
1 (Low)
2
3
4
5 (High)
Knowledge
1 (Low)
2
3
4
5 (High)
Confidence
1 (Low)
2
3
4
5 (High)
7.
As a result of this session, do you plan to do anything differently in how you practice geriatric healthcare?
Yes
No
8.
If YES, what would you plan to change?
9.
Do you have comments about this lecture or suggestions for future geriatric education topics / speakers?
