CDC Winter 2017: Module 1 Evaluation

A Program to Improve Graduation by Integrating Public Health Prevention and Primary Care in Schools

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* 1. Name:

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* 2. Title:

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* 3. State:

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* 4. Date:

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* 5. Are you of Hispanic, Latino/a or Spanish origin?

Yes

Prefer not to answer

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* 6. What is your race? (One or more category may be selected)

White

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or other Pacific Islander

Other

Prefer not to answer

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* 7. What type of organization listed below best reflects where you work:

Non-profit/NGO

Academic institution

State, local, territorial or tribal health department

State, local, territorial or tribal government (other than health departament)

Federal government

Private sector

Healthcare or health plan

Student

Other (please specify)

________________________________________________________________________________________________________

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* 8. To what extent did you achieve the objectives of this session?

Excellent

Good

Average

Fair

Poor

Excellent

Good

Average

Fair

Poor

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* 9. Evaluation of Content

	Excellent	Good	Average	Fair	Poor
Presentation met your needs	Presentation met your needs Excellent	Presentation met your needs Good	Presentation met your needs Average	Presentation met your needs Fair	Presentation met your needs Poor
Presentation provided usable ideas and/or techniques	Presentation provided usable ideas and/or techniques Excellent	Presentation provided usable ideas and/or techniques Good	Presentation provided usable ideas and/or techniques Average	Presentation provided usable ideas and/or techniques Fair	Presentation provided usable ideas and/or techniques Poor
Program will improve professional effectiveness	Program will improve professional effectiveness Excellent	Program will improve professional effectiveness Good	Program will improve professional effectiveness Average	Program will improve professional effectiveness Fair	Program will improve professional effectiveness Poor
Time for questions & answers was sufficient	Time for questions & answers was sufficient Excellent	Time for questions & answers was sufficient Good	Time for questions & answers was sufficient Average	Time for questions & answers was sufficient Fair	Time for questions & answers was sufficient Poor
Session met your expectations	Session met your expectations Excellent	Session met your expectations Good	Session met your expectations Average	Session met your expectations Fair	Session met your expectations Poor
Format and organization were effective	Format and organization were effective Excellent	Format and organization were effective Good	Format and organization were effective Average	Format and organization were effective Fair	Format and organization were effective Poor
Handouts were useful	Handouts were useful Excellent	Handouts were useful Good	Handouts were useful Average	Handouts were useful Fair	Handouts were useful Poor

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* 10. To what extent was the speaker(s) for this module knowledgeable, organized, and effective in their presentation?

Excellent

Good

Average

Fair

Poor

Excellent

Good

Average

Fair

Poor

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* 11. Presenter Demonstrated Expertise of This Topic:

	Excellent	Good	Average	Fair	Poor
Terri Wright, PhD, MPH: Rationale and Context for Capacity Training	Terri Wright, PhD, MPH: Rationale and Context for Capacity Training Excellent	Terri Wright, PhD, MPH: Rationale and Context for Capacity Training Good	Terri Wright, PhD, MPH: Rationale and Context for Capacity Training Average	Terri Wright, PhD, MPH: Rationale and Context for Capacity Training Fair	Terri Wright, PhD, MPH: Rationale and Context for Capacity Training Poor
Michael Royster, MD, MPH: Institutionalized and Informal Structures	Michael Royster, MD, MPH: Institutionalized and Informal Structures Excellent	Michael Royster, MD, MPH: Institutionalized and Informal Structures Good	Michael Royster, MD, MPH: Institutionalized and Informal Structures Average	Michael Royster, MD, MPH: Institutionalized and Informal Structures Fair	Michael Royster, MD, MPH: Institutionalized and Informal Structures Poor
Terri Wright, PhD, MPH: Essential Functions of Public Health	Terri Wright, PhD, MPH: Essential Functions of Public Health Excellent	Terri Wright, PhD, MPH: Essential Functions of Public Health Good	Terri Wright, PhD, MPH: Essential Functions of Public Health Average	Terri Wright, PhD, MPH: Essential Functions of Public Health Fair	Terri Wright, PhD, MPH: Essential Functions of Public Health Poor
Required Reading -- Two Articles	Required Reading -- Two Articles Excellent	Required Reading -- Two Articles Good	Required Reading -- Two Articles Average	Required Reading -- Two Articles Fair	Required Reading -- Two Articles Poor
CSHE Team: Group Discussion Module 1	CSHE Team: Group Discussion Module 1 Excellent	CSHE Team: Group Discussion Module 1 Good	CSHE Team: Group Discussion Module 1 Average	CSHE Team: Group Discussion Module 1 Fair	CSHE Team: Group Discussion Module 1 Poor

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* 12. Was the activity commercially biased?

Yes