Geriatric Healthcare Series: Evaluation Survey

Spring 2020

Please fill out an anonymous survey for each lecture. Use this same link throughout the Spring 2020 series.

Should you have any trouble filling this out, please contact nwgwec@uw.edu.

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* 1. What state are you participating from?

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* 2. Please select what lecture.

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* 3. How would you rate the following?

	1 (Low)	2	3	4	5 (High)
Overall satisfaction with the instructor	Overall satisfaction with the instructor 1 (Low)	Overall satisfaction with the instructor 2	Overall satisfaction with the instructor 3	Overall satisfaction with the instructor 4	Overall satisfaction with the instructor 5 (High)
Satisfaction with the course materials	Satisfaction with the course materials 1 (Low)	Satisfaction with the course materials 2	Satisfaction with the course materials 3	Satisfaction with the course materials 4	Satisfaction with the course materials 5 (High)
Satisfaction with the overall educational experience	Satisfaction with the overall educational experience 1 (Low)	Satisfaction with the overall educational experience 2	Satisfaction with the overall educational experience 3	Satisfaction with the overall educational experience 4	Satisfaction with the overall educational experience 5 (High)

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* 4. BEFORE this lecture, I rate my ___________________ for this lecture's topic

	1 (Low)	2	3	4	5 (High)
Knowledge	Knowledge 1 (Low)	Knowledge 2	Knowledge 3	Knowledge 4	Knowledge 5 (High)
Confidence	Confidence 1 (Low)	Confidence 2	Confidence 3	Confidence 4	Confidence 5 (High)

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* 5. AFTER this lecture, I rate my ________________ for this lecture's topic

	1 (Low)	2	3	4	5 (High)
Knowledge	Knowledge 1 (Low)	Knowledge 2	Knowledge 3	Knowledge 4	Knowledge 5 (High)
Confidence	Confidence 1 (Low)	Confidence 2	Confidence 3	Confidence 4	Confidence 5 (High)

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* 6. As a result of this session, do you plan to do anything differently in how you practice geriatric healthcare?

Yes

No

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* 7. If YES, what would you plan to change?

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* 8. Do you have comments about this lecture or suggestions for future geriatric education topics / speakers?