Skip to content
Klamath Healing ECHO Session Evaluation
Thank you for attending today's Klamath Healing ECHO session.
*
1.
Please choose the date of the Healing ECHO session you attended:
(Required.)
Date of Clinic
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
2.
What is your professional licensure?
(Required.)
MD
DO
DMD/ DDS
PsyD
Pharmacist
NP
RN
PA
Behavioral Health
Other
If "Other", please specify:
3.
Please select the number that best expresses your reaction to the items below. Select 5 for the highest or best or most and 1 for the lowest, least or worst.
1
2
3
4
5
The expertise of the presenter
1
2
3
4
5
The appropriateness of teaching strategies
1
2
3
4
5
How would you rate the extent to which the learning objectives were met?
1
2
3
4
5
Please rate the quality of learning materials (e.g. case studies, problem-based activities)
1
2
3
4
5
How would you rate this activity in meeting your learning objectives?
1
2
3
4
5
Looking back, how would you rate your knowledge of the subject before training?
1
2
3
4
5
Now that you have attended this learning activity, how would you rate your knowledge
of the subject?
1
2
3
4
5
How likely is it that you will change your practice behavior as a result of this activity?
1
2
3
4
5
4.
List two things that you will incorporate into your professional/clinical work as a result of this training?
5.
List any barriers that might prevent change in your professional/clinical work:
6.
Do you feel that this presentation conveyed any commercial bias?
No
Yes
If yes, please explain
7.
List any additional training related to this topic or other topics you would like to see offered.
Thank you for joining us for today's session.
If you have any questions, please contact us at
echo@npaihb.org
.
The Indian Country ECHO Team