Spring 2025 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 employed with VA (Veteran Affairs) Health Care (AK, WA, ID, OR)?
(Required.)
Yes
No
*
3.
Please select what lecture.
(Required.)
4/3 Grief and Loss (Wendy Lustbader, MSW)
4/10 Social Prescribing/Social Connection (Alan Siegel, MD and Teresa Tam, BA, MAPS)
4/17 Assistive/Adaptive Technology (Maria Kelley, OTR/L, ATP)
4/24 Elder Health in Indigenous Elders (Jordan “Angun” Lewis, PhD, MSW, CPG)
5/1 Age-Friendly Healthcare: Mobility (Katherine Ritchey, DO, MPH)
5/8 Aging with a Physical Disability (Ivan Molton, PhD)
5/15 Medicare 101 (Tim Smolen, MHSA)
5/22 Communicating Effectively with Older Adults (Karan Dawson, PhD)
5/29 Traumatic Brain Injury (Hilaire Thompson, PhD, ARNP, FAAN)
6/5 Depression (Stephen Thielke, MD, MS, MA)
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?
