The Effect of Heat and Hurricane Disasters on the Elderly

Program Evaluation

We appreciate your participation in our continuing education activity. Your responses to this anonymous survey will allow us to improve our program offerings and services. Thank you for your time.

SECTION 1
For each statement please use the scale below to best reflect your opinion about the presentation:
1 = Strongly disagree
2 = Disagree
3 = Somewhat Agree
4 = Agree
5 = Strongly Agree

Question Title

* 1. I feel that as a result of this activity I will be better able to:

	1	2	3	4	5
Elaborate on the physiological impact of hear and hurricane emergencies on the elderly	Elaborate on the physiological impact of hear and hurricane emergencies on the elderly 1	Elaborate on the physiological impact of hear and hurricane emergencies on the elderly 2	Elaborate on the physiological impact of hear and hurricane emergencies on the elderly 3	Elaborate on the physiological impact of hear and hurricane emergencies on the elderly 4	Elaborate on the physiological impact of hear and hurricane emergencies on the elderly 5
Describe the comorbidities associated with increased risk	Describe the comorbidities associated with increased risk 1	Describe the comorbidities associated with increased risk 2	Describe the comorbidities associated with increased risk 3	Describe the comorbidities associated with increased risk 4	Describe the comorbidities associated with increased risk 5
Identify best practices around the country and in Rhode Island	Identify best practices around the country and in Rhode Island 1	Identify best practices around the country and in Rhode Island 2	Identify best practices around the country and in Rhode Island 3	Identify best practices around the country and in Rhode Island 4	Identify best practices around the country and in Rhode Island 5

Question Title

* 2. For each statement please use the scale below to best reflect your opinion about the presentation:
1 = Strongly disagree
2 = Disagree
3 = Somewhat Agree
4 = Agree
5 = Strongly Agree

	1	2	3	4	5
There was enough time to cover the topic.	There was enough time to cover the topic. 1	There was enough time to cover the topic. 2	There was enough time to cover the topic. 3	There was enough time to cover the topic. 4	There was enough time to cover the topic. 5
I would recommend this conference to my peers.	I would recommend this conference to my peers. 1	I would recommend this conference to my peers. 2	I would recommend this conference to my peers. 3	I would recommend this conference to my peers. 4	I would recommend this conference to my peers. 5
The information was applicable to my daily activities.	The information was applicable to my daily activities. 1	The information was applicable to my daily activities. 2	The information was applicable to my daily activities. 3	The information was applicable to my daily activities. 4	The information was applicable to my daily activities. 5

SECTION 2:

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* 3. What were the major strengths of the presentation?

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* 4. Was today's topic one that you would have identified as important to you?

Yes

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* 5. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

Yes

N/A

If yes, please describe:

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* 6. Please feel free to share any additional comments and suggestions. Your feedback is extremely valuable to us.

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* 7. Please list your information below so we may send you a Certificate of Completion:

Name and Credentials

Company

State

Email Address

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* 1. I feel that as a result of this activity I will be better able to:

Question Title

* 2. For each statement please use the scale below to best reflect your opinion about the presentation: 1 = Strongly disagree 2 = Disagree 3 = Somewhat Agree 4 = Agree 5 = Strongly Agree

Question Title

* 3. What were the major strengths of the presentation?

Question Title

* 4. Was today's topic one that you would have identified as important to you?

Question Title

* 5. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

Question Title

* 6. Please feel free to share any additional comments and suggestions. Your feedback is extremely valuable to us.

Question Title

* 7. Please list your information below so we may send you a Certificate of Completion:

* 2. For each statement please use the scale below to best reflect your opinion about the presentation:
1 = Strongly disagree
2 = Disagree
3 = Somewhat Agree
4 = Agree
5 = Strongly Agree