2019 Fall Meeting Evaluation Form

Question Title

* 1. What is your position?

Administrator

Finance

Health Educator

Nurse/Nurse Practitioner

Pharmacist

Physician

Physician's Assistant

Physical Therapist

Social Worker

Other (please specify)

Question Title

* 2. Is this your first Alliance Meeting?

Yes

Question Title

* 3. The speakers presented the information well and knew their topic.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
Jennifer Borillo - Welcome/Board Update	Jennifer Borillo - Welcome/Board Update Strongly Disagree	Jennifer Borillo - Welcome/Board Update Disagree	Jennifer Borillo - Welcome/Board Update Neutral	Jennifer Borillo - Welcome/Board Update Agree	Jennifer Borillo - Welcome/Board Update Strongly Agree	Jennifer Borillo - Welcome/Board Update N/A
Joe Pugliese - Alliance Update	Joe Pugliese - Alliance Update Strongly Disagree	Joe Pugliese - Alliance Update Disagree	Joe Pugliese - Alliance Update Neutral	Joe Pugliese - Alliance Update Agree	Joe Pugliese - Alliance Update Strongly Agree	Joe Pugliese - Alliance Update N/A
Dr. Kristina Haley - OHSU	Dr. Kristina Haley - OHSU Strongly Disagree	Dr. Kristina Haley - OHSU Disagree	Dr. Kristina Haley - OHSU Neutral	Dr. Kristina Haley - OHSU Agree	Dr. Kristina Haley - OHSU Strongly Agree	Dr. Kristina Haley - OHSU N/A
HANS Payer Team - PPO Agreement	HANS Payer Team - PPO Agreement Strongly Disagree	HANS Payer Team - PPO Agreement Disagree	HANS Payer Team - PPO Agreement Neutral	HANS Payer Team - PPO Agreement Agree	HANS Payer Team - PPO Agreement Strongly Agree	HANS Payer Team - PPO Agreement N/A
Susan Lattimore - Regional Structure	Susan Lattimore - Regional Structure Strongly Disagree	Susan Lattimore - Regional Structure Disagree	Susan Lattimore - Regional Structure Neutral	Susan Lattimore - Regional Structure Agree	Susan Lattimore - Regional Structure Strongly Agree	Susan Lattimore - Regional Structure N/A
Dr. Roshni Kulkarni - Telemedicine	Dr. Roshni Kulkarni - Telemedicine Strongly Disagree	Dr. Roshni Kulkarni - Telemedicine Disagree	Dr. Roshni Kulkarni - Telemedicine Neutral	Dr. Roshni Kulkarni - Telemedicine Agree	Dr. Roshni Kulkarni - Telemedicine Strongly Agree	Dr. Roshni Kulkarni - Telemedicine N/A
Mike Glomb - Legal Update	Mike Glomb - Legal Update Strongly Disagree	Mike Glomb - Legal Update Disagree	Mike Glomb - Legal Update Neutral	Mike Glomb - Legal Update Agree	Mike Glomb - Legal Update Strongly Agree	Mike Glomb - Legal Update N/A
Dr. Stacy Croteau - New Therapies	Dr. Stacy Croteau - New Therapies Strongly Disagree	Dr. Stacy Croteau - New Therapies Disagree	Dr. Stacy Croteau - New Therapies Neutral	Dr. Stacy Croteau - New Therapies Agree	Dr. Stacy Croteau - New Therapies Strongly Agree	Dr. Stacy Croteau - New Therapies N/A
Sean Singh - Running a pharmacy	Sean Singh - Running a pharmacy Strongly Disagree	Sean Singh - Running a pharmacy Disagree	Sean Singh - Running a pharmacy Neutral	Sean Singh - Running a pharmacy Agree	Sean Singh - Running a pharmacy Strongly Agree	Sean Singh - Running a pharmacy N/A
John Curren - Takeda	John Curren - Takeda Strongly Disagree	John Curren - Takeda Disagree	John Curren - Takeda Neutral	John Curren - Takeda Agree	John Curren - Takeda Strongly Agree	John Curren - Takeda N/A
Robert Rouse - CSL Behring	Robert Rouse - CSL Behring Strongly Disagree	Robert Rouse - CSL Behring Disagree	Robert Rouse - CSL Behring Neutral	Robert Rouse - CSL Behring Agree	Robert Rouse - CSL Behring Strongly Agree	Robert Rouse - CSL Behring N/A
Ellen Riker & Johanna Gray - Washington ACA Update	Ellen Riker & Johanna Gray - Washington ACA Update Strongly Disagree	Ellen Riker & Johanna Gray - Washington ACA Update Disagree	Ellen Riker & Johanna Gray - Washington ACA Update Neutral	Ellen Riker & Johanna Gray - Washington ACA Update Agree	Ellen Riker & Johanna Gray - Washington ACA Update Strongly Agree	Ellen Riker & Johanna Gray - Washington ACA Update N/A
Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices	Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices Strongly Disagree	Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices Disagree	Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices Neutral	Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices Agree	Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices Strongly Agree	Tracey Gaslin, PhD, CPNP, FNP, CRNI, RN-BC - Best Practices N/A
Mark Plencner - Pharmacist Protocol Preparation	Mark Plencner - Pharmacist Protocol Preparation Strongly Disagree	Mark Plencner - Pharmacist Protocol Preparation Disagree	Mark Plencner - Pharmacist Protocol Preparation Neutral	Mark Plencner - Pharmacist Protocol Preparation Agree	Mark Plencner - Pharmacist Protocol Preparation Strongly Agree	Mark Plencner - Pharmacist Protocol Preparation N/A
George Oestreich - Medicaid/Medicare	George Oestreich - Medicaid/Medicare Strongly Disagree	George Oestreich - Medicaid/Medicare Disagree	George Oestreich - Medicaid/Medicare Neutral	George Oestreich - Medicaid/Medicare Agree	George Oestreich - Medicaid/Medicare Strongly Agree	George Oestreich - Medicaid/Medicare N/A
Elizabeth Karan - Legal Update	Elizabeth Karan - Legal Update Strongly Disagree	Elizabeth Karan - Legal Update Disagree	Elizabeth Karan - Legal Update Neutral	Elizabeth Karan - Legal Update Agree	Elizabeth Karan - Legal Update Strongly Agree	Elizabeth Karan - Legal Update N/A
Stephanie Simpson & Tammy Vogel - CSO Letters	Stephanie Simpson & Tammy Vogel - CSO Letters Strongly Disagree	Stephanie Simpson & Tammy Vogel - CSO Letters Disagree	Stephanie Simpson & Tammy Vogel - CSO Letters Neutral	Stephanie Simpson & Tammy Vogel - CSO Letters Agree	Stephanie Simpson & Tammy Vogel - CSO Letters Strongly Agree	Stephanie Simpson & Tammy Vogel - CSO Letters N/A
Dr. Mike Callaghan - Genentech	Dr. Mike Callaghan - Genentech Strongly Disagree	Dr. Mike Callaghan - Genentech Disagree	Dr. Mike Callaghan - Genentech Neutral	Dr. Mike Callaghan - Genentech Agree	Dr. Mike Callaghan - Genentech Strongly Agree	Dr. Mike Callaghan - Genentech N/A

Question Title

* 4. Do you have any comments about the speakers and/or their presentations?

Question Title

* 5. Hotel and Meeting Space

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The hotel was conveniently located and easily accessible.	The hotel was conveniently located and easily accessible. Strongly Disagree	The hotel was conveniently located and easily accessible. Disagree	The hotel was conveniently located and easily accessible. Neutral	The hotel was conveniently located and easily accessible. Agree	The hotel was conveniently located and easily accessible. Strongly Agree
The hotel accommodations met my needs.	The hotel accommodations met my needs. Strongly Disagree	The hotel accommodations met my needs. Disagree	The hotel accommodations met my needs. Neutral	The hotel accommodations met my needs. Agree	The hotel accommodations met my needs. Strongly Agree
The hotel's meeting facilities met my needs.	The hotel's meeting facilities met my needs. Strongly Disagree	The hotel's meeting facilities met my needs. Disagree	The hotel's meeting facilities met my needs. Neutral	The hotel's meeting facilities met my needs. Agree	The hotel's meeting facilities met my needs. Strongly Agree

Question Title

* 6. General Conference Evaluation

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The meeting was well organized.	The meeting was well organized. Strongly Disagree	The meeting was well organized. Disagree	The meeting was well organized. Neutral	The meeting was well organized. Agree	The meeting was well organized. Strongly Agree
There was sufficient time for networking.	There was sufficient time for networking. Strongly Disagree	There was sufficient time for networking. Disagree	There was sufficient time for networking. Neutral	There was sufficient time for networking. Agree	There was sufficient time for networking. Strongly Agree
The overall usefulness of this meeting met my needs.	The overall usefulness of this meeting met my needs. Strongly Disagree	The overall usefulness of this meeting met my needs. Disagree	The overall usefulness of this meeting met my needs. Neutral	The overall usefulness of this meeting met my needs. Agree	The overall usefulness of this meeting met my needs. Strongly Agree

Question Title

* 7. What did you find most useful?

Welcome and Board Update

Alliance Update

Oregon Health & Sciences University

PPO Agreements

Regional Structure

Telemedicine

Legal Update

New Therapies

Running a Pharmacy

Takeda

CSL Behring

Washington ACA Update

Best Practices

Pharmacist Protocol Preparation

Medicaid/Medicare

Legal Update

CSO Letters

Genentech

Comments

Question Title

* 8. What did you find least useful?

Welcome and Board Update

Alliance Update

Oregon Health & Science University

PPO Agreement

Regional Structure

Telemedicine

Legal Update

New Therapies

Running a Pharmacy

Takeda

CSL Behring

Washington ACA Update

Best Practices

Pharmacist Protocol Preparation

Medicaid/Medicare

Legal Update

CSO Letters

Genentech

Comments

Question Title

* 9. What suggestions do you have for possible topics and/or speakers for the next Alliance meeting?

Question Title

* 10. What suggestions do you have for future meeting locations?

Question Title

* 11. Other comments and/or recommendations.

Question Title

* 12. Do you want the Hemophilia Alliance to contact you regarding any topic at this meeting?

Yes

Contact Information (name, email address, phone number):