Participant Evaluation Questions - Course Number: 003A

The data from these questions will be collected and used for Provider Unit outcome evaluation required by ANCC/NCAA.

What key points would you want to share with an expecting mother about cord blood donation?

Question Title

* 1. What key points would you want to share with an expecting mother about cord blood donation?

What are two requirements for donating?

Question Title

* 2. What are two requirements for donating?

If mom is delivering at a non-Carolinas Cord Blood Bank (CCBB) staffed site she should:

Question Title

* 3. If mom is delivering at a non-Carolinas Cord Blood Bank (CCBB) staffed site she should:

IF YOU HAVE PROBLEMS ANSWERING THIS QUESTION, copy and paste the https:// evaluation address above and complete the survey in another web browser like Google Chrome or Firefox.

Please rate your intention to change your practice as a result of this educational activity. Click the number of hearts that match your intention.
1 star  -
I have no intention to use this information for my practice.
2 stars -
I possibly will use this information at some point in the future.
3 stars -
I probably will use this information in the near future. 
4 stars -
I plan to use this information immediately in my practice.

Question Title

* 4. IF YOU HAVE PROBLEMS ANSWERING THIS QUESTION, copy and paste the https:// evaluation address above and complete the survey in another web browser like Google Chrome or Firefox.

Please rate your intention to change your practice as a result of this educational activity. Click the number of hearts that match your intention.
1 star  -
I have no intention to use this information for my practice.
2 stars -
I possibly will use this information at some point in the future.
3 stars -
I probably will use this information in the near future. 
4 stars -
I plan to use this information immediately in my practice.

I anticipate the following supportive factors in implementing what I learned in my workplace. Check all that apply.

Question Title

* 5. I anticipate the following supportive factors in implementing what I learned in my workplace. Check all that apply.

I anticipate the following barriers in implementing what I learned in my workplace. Check all that apply.

Question Title

* 6. I anticipate the following barriers in implementing what I learned in my workplace. Check all that apply.

Please evaluate the expertise of each presenter of the Give Birth to Hope: A Unique Approach to Public Cord Blood Donation.

Question Title

* 7. Please evaluate the expertise of each presenter of the Give Birth to Hope: A Unique Approach to Public Cord Blood Donation.

  Excellent Good Fair Poor N/A
Jessica Burgess
David Hall
Deborah Wood
Please evaluate the presentation method of each presenter of the Give Birth to Hope: A Unique Approach to Public Cord Blood Donation.

Question Title

* 8. Please evaluate the presentation method of each presenter of the Give Birth to Hope: A Unique Approach to Public Cord Blood Donation.

  Excellent Good Fair Poor N/A
Jessica Burgess
David Hall
Deborah Wood
Please provide feedback on how this activity was delivered.

Question Title

* 9. Please provide feedback on how this activity was delivered.

Which webinar did you attend?

Question Title

* 10. Which webinar did you attend?

Please provide any additional feedback that you would like to share.

Question Title

* 11. Please provide any additional feedback that you would like to share.

T