CLTI E Learning Module - Feedback Question Title * 1. Full Name (As you wish it to appear on your certificate) (Required.) Question Title * 2. Age range 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 3. Are you a trainee? Yes No Question Title * 4. On a scale of one to five, how likely are you to recommend this E-Learning module to a colleague? 1 (Not Likely) 5 (Very Likely) Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 5. Did this E-Learning module fulfill your expectations? 1 (Did not meet expectations) 3 (Met Expectations) 5 (Exceeded expectations) Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 6. How would you rate the difficulty level of this E-Learning module? Very easy Easy Somewhat easy Neither easy nor difficult Somewhat difficult Difficult Very difficult Question Title * 7. Did the content covered in the E-Learning Module assist you in answering the quiz questions correctly? Yes No Question Title * 8. On a scale of one to five, how user-friendly did you find the navigation of the E-Learning module? 1 (Difficult to navigate) 5 (Easy to Navigate) Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 9. On a scale from 1 to 5, how did you find the length of the module? 1 - (Too short ) 3 - (Correct length) 5 - (Too long) Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 10. Do you think this module will assist you in your clinical activity? Yes No Maybe Question Title * 11. Would you like to see other topics in this format? Yes No If yes, which topics? Question Title * 12. How would you rate the quality of the media used throughout the module (videos, podcasts, articles)? Excellent Good Average Poor Very poor Question Title * 13. How many sessions did you take to complete this module? 1-3 4-6 7-9 10+ Question Title * 14. Please share any other comments you have on the module Done