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.

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* 1. What state do you live in?

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* 2. Are you part of VA VISN 20 (AK, WA, ID, OR)?

Yes

No

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* 3. Please select what lecture.

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* 4. How would you rate the following?

	1 (Low)	2	3	4	5 (High)
Overall satisfaction with the instructor	Overall satisfaction with the instructor 1 (Low)	Overall satisfaction with the instructor 2	Overall satisfaction with the instructor 3	Overall satisfaction with the instructor 4	Overall satisfaction with the instructor 5 (High)
Satisfaction with the course materials	Satisfaction with the course materials 1 (Low)	Satisfaction with the course materials 2	Satisfaction with the course materials 3	Satisfaction with the course materials 4	Satisfaction with the course materials 5 (High)
Satisfaction with the overall educational experience	Satisfaction with the overall educational experience 1 (Low)	Satisfaction with the overall educational experience 2	Satisfaction with the overall educational experience 3	Satisfaction with the overall educational experience 4	Satisfaction with the overall educational experience 5 (High)

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* 5. BEFORE this lecture, I rate my ___________________ for this lecture's topic

	1 (Low)	2	3	4	5 (High)
Knowledge	Knowledge 1 (Low)	Knowledge 2	Knowledge 3	Knowledge 4	Knowledge 5 (High)
Confidence	Confidence 1 (Low)	Confidence 2	Confidence 3	Confidence 4	Confidence 5 (High)

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* 6. AFTER this lecture, I rate my ________________ for this lecture's topic

	1 (Low)	2	3	4	5 (High)
Knowledge	Knowledge 1 (Low)	Knowledge 2	Knowledge 3	Knowledge 4	Knowledge 5 (High)
Confidence	Confidence 1 (Low)	Confidence 2	Confidence 3	Confidence 4	Confidence 5 (High)

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* 7. As a result of this session, do you plan to do anything differently in how you practice geriatric healthcare?

Yes

No

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* 8. If YES, what would you plan to change?

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* 9. Do you have comments about this lecture or suggestions for future geriatric education topics / speakers?