1. Evaluation for Oral Health Grand Rounds held on June 9, 2017

 
100% of survey complete.

You must fill out an attendance and evaluation form in order to receive continuing education. Your forms will be delayed otherwise and you will not receive a certificate.

Also, please make sure that you are using the same email as on your attendance record. Thank you for your cooperation!.

Last Name: (Required)

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* 1. Last Name: (Required)

First Name; Degree: (required for certificate)

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* 2. First Name; Degree: (required for certificate)

Please check your health care discipline.

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* 3. Please check your health care discipline.

Email Address: (required for certificate)

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* 4. Email Address: (required for certificate)

Phone number (including area code) Required

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* 5. Phone number (including area code) Required

What is the name of your organization (please do not abbreviate)?

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* 6. What is the name of your organization (please do not abbreviate)?

What is your organization's street address?

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* 7. What is your organization's street address?

What city is your organization located in?

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* 8. What city is your organization located in?

Please list the county where your organization is?

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* 9. Please list the county where your organization is?

Please indicate how well the speaker(s) met each of the stated learning objectives?

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* 10. Please indicate how well the speaker(s) met each of the stated learning objectives?

  Strongly Agree Agree Undecided Disagree Strongly Disagree
Recognize at least 2 connections of heart disease and oral health
Recognize at least 2 management strategies to improve the oral health of people with diabetes
Become familiar with at least 2 of the MDHHS survey results of dental professionals in regards to identifying patients with hypertension and diabetes
This section addresses the appropriateness and design of the course content.

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* 11. This section addresses the appropriateness and design of the course content.

  Strongly Agree Agree Undecided Disagree Strongly Disagree
a. The content was clearly organized.
b. The content had a good blend of theoretical and practical information.
Presenter Effectiveness: This section rates the effectiveness of the presenter: Beth Jabin, M.A., Public Health Consultant, Health System Interventions, Michigan Department of Health and Human Services, effectively. 

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* 12. Presenter Effectiveness: This section rates the effectiveness of the presenter: Beth Jabin, M.A., Public Health Consultant, Health System Interventions, Michigan Department of Health and Human Services, effectively. 

  Strongly Agree Agree Undecided Disagree Strongly Disagree
a. The presenter was knowledgeable.
b. The presenter was well prepared
c. The presenter answered questions adequately/clearly.
Presenter Effectiveness: This section rates the effectiveness of the presenter: Kily Buta, Project Evaluator, MDHHS, effectively. 

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* 13. Presenter Effectiveness: This section rates the effectiveness of the presenter: Kily Buta, Project Evaluator, MDHHS, effectively. 

  Strongly Agree Agree Undecided Disagree Strongly Disagree
a. The presenter was knowledgeable.
b. The presenter was well prepared
c. The presenter answered questions adequately/clearly.
Presenter Effectiveness: This section rates the effectiveness of the presenter: Kim Lombard, MS, RD, CDE, DSMT Certification Program Coordinator, Michigan Department of Health and Human Services, effectively: 

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* 14. Presenter Effectiveness: This section rates the effectiveness of the presenter: Kim Lombard, MS, RD, CDE, DSMT Certification Program Coordinator, Michigan Department of Health and Human Services, effectively: 

  Strongly Agree Agree Undecided Disagree Strongly Disagree
a. The presenter was knowledgeable.
b. The presenter was well prepared
c. The presenter answered questions adequately/clearly.
Presenter Effectiveness: This section rates the effectiveness of the presenter:  Susan Deming RDH, RDA, BS, Early Childhood Oral Health Coordinator, Health Systems Integration OH Coordinator, Michigan Dept of Health and Human Services, effectively. 

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* 15. Presenter Effectiveness: This section rates the effectiveness of the presenter:  Susan Deming RDH, RDA, BS, Early Childhood Oral Health Coordinator, Health Systems Integration OH Coordinator, Michigan Dept of Health and Human Services, effectively. 

  Strongly Agree Agree Undecided Disagree Strongly Disagree
a. The presenter was knowledgeable.
b. The presenter was well prepared
c. The presenter answered questions adequately/clearly.
Instructional Strategies/Materials/Facilities: This section evaluates the delivery of content/materials used and appropriateness of activity site.

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* 16. Instructional Strategies/Materials/Facilities: This section evaluates the delivery of content/materials used and appropriateness of activity site.

  Strongly Agree Agree Undecided Disagree Strongly Disagree
a. The activities and examples provided an opportunity to see how content is related to my job.
b. The educational activity site/room was appropriate.
Transfer Expectation: This section evaluates how you plan to apply the content to your job.

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* 17. Transfer Expectation: This section evaluates how you plan to apply the content to your job.

  Strongly Agree Agree Undecided Disagree Strongly Disagree
I will be able to transfer this content to my work environment.
Was this presentation free of commercial bias?

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* 18. Was this presentation free of commercial bias?

Overall satisfaction

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* 19. Overall satisfaction

  Strongly Agree Agree Undecided Disagree Strongly Disagree
Overall, I am satisfied with this educational activity
What patient issues, problems, or challenges do you feel that you're not able to address appropriately to your satisfaction? (This will help us in designing future program offerings and required by continuing education accreditation). How would addressing this topic help you in your profession?

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* 20. What patient issues, problems, or challenges do you feel that you're not able to address appropriately to your satisfaction? (This will help us in designing future program offerings and required by continuing education accreditation). How would addressing this topic help you in your profession?

What educational sessions would you like offered? (This will help us in designing future program offerings.)

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* 21. What educational sessions would you like offered? (This will help us in designing future program offerings.)

Additional Comments

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* 22. Additional Comments

Thank you for participating in the Oral Health Grand Rounds program on June 9,  2017 and completing the evaluation for this program.

If you have any questions please contact Victoria at victoria.lantzy@hc.msu.edu or (517)355-8250.

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