EVALUATION

Please take a few moments to evaluate this training session.  Your responses will be used to plan future sessions.  We appreciate your opinions and  assistance.

IMPORTANT!!
Once you complete the evaluation and click FINISHED, you will be redirected to a web page to download your continuing education certificate.

If you have difficulties completing this survey, contact Amy Wales at amy.wales@miccsi.org.
Demographics

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* 1. Personal Information

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* 2. Please choose your organization from the choices below:

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* 3. Please list the name of your practice. If not applicable, type "N/A".

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* 4. Please choose your role in your practice:

Confidence Assessment

Please use the following scale to answer questions 5 and 6.

1: Not confident at all
2: Slightly confident
3: Somewhat confident
4: Fairly confident
5: Completely confident

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* 5. On a scale of 1-5 please rate your confidence in engaging community pharmacy teams in the management of chronic pain and/or substance use disorder PRIOR TO participating in this webinar.

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* 6. On a scale of 1-5 please rate your confidence in engaging community pharmacy teams in the management of chronic pain and/or substance use disorder AFTER participating in this webinar.

Program Evaluation

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* 7. What was your overall opinion of this learning activity?

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* 8. Did the materials presented meet the stated objective?

Objective 1: Identify and proactively address potential pharmacy-level barriers to medication access, including opioid therapy and medications for opioid use disorder (MOUD).

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* 9. Did the materials presented meet the stated objective?

Objective 2: Apply best practices to develop and maintain relationships with community pharmacy teams.

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* 10. Was the information/material presented in this learning activity free from commercial bias?

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* 11. If no, please explain.

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* 12. Please provide your impressions of the training faculty using the following scale:
  1. Very poor
  2. Poor
  3. Average
  4. Good
  5. Excellent
  6. N/A

  Quality of Presentation Quality of Handout Value of Topic Overall Rating
Engaging Community Pharmacy Teams in the Management of Chronic Pain and/or Substance Use Disorder
Claire Nolan, PharmD

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* 13. What did you like most about this learning activity?

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* 14. What did you like least about this learning activity?

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* 15. Do you have specific suggestions as to how this learning activity might be improved?

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* 16. Did you feel the learning activity content was: 

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* 17. What new abilities/strategies have you gained from this educational session?

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* 18. Based on the information you learned today, what changes to this program or additional topics, skills and trainings would help you in your role in relation to managing substance use disorder?

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* 19. Based on the information you learned today, what topics would be helpful for the future?

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* 20. Additional comments: 

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