2014 Evaluation Question Title * 1. Tell us about you! Burn Survivor Family Physician Nurse Social Worker Firefighter Foundation Nutritionist/Dietitian Physical or Occupational Therapist Other (please specify) Question Title * 2. How familiar are you with World Burn Congress? Not Familiar at All: I'm still not quite sure why I'm here Somewhat Familiar: I know a bit about the program Familiar: I have a clear sense of why I'm here and what I want to accomplish Very Familiar: I've been to the event before Question Title * 3. How would you rate the hotel accommodations? Excellent Very Good Good Fair Poor N/A Question Title * 4. How would you rate the meeting space? Excellent Very Good Good Fair Poor N/A Question Title * 5. Which WBC programs have been valuable to you? (Check all that apply) Breakout Sessions General Sessions Discussion Groups Support Groups Other (please specify) Question Title * 6. What program content do you find most helpful? Motivational/Inspirational Alternative Healing Methods (Writing Workshop; Art, Music, and Yoga) Medical/Professional (Redesigning Your Career, Secondary Trauma) Take Home Tools and Resources (Online Burn Community, Heading Home after first WBC) Emotional Healing and Recovery (Grief & Loss, Sexuality, Self Compassion) Other (please specify) Question Title * 7. What was the most challenging aspect of attending WBC? Financial Transportation Emotional Readiness School/Work Time of year Willingness to participate Child Care Other (please specify) Question Title * 8. What will you take away from WBC? (Check all that apply) Coping mechanisms for recovery Giving back to the community A sense of belonging The ability to find resources both locally and nationally Renewed spirit Other (please specify) Question Title * 9. How would you rank the importance of the following activities? Very Important Important Somewhat Important Not important N/A Remembrance Walk Remembrance Walk Very Important Remembrance Walk Important Remembrance Walk Somewhat Important Remembrance Walk Not important Remembrance Walk N/A Kick-Off Event Kick-Off Event Very Important Kick-Off Event Important Kick-Off Event Somewhat Important Kick-Off Event Not important Kick-Off Event N/A Opening Ceremonies Opening Ceremonies Very Important Opening Ceremonies Important Opening Ceremonies Somewhat Important Opening Ceremonies Not important Opening Ceremonies N/A Closing Ceremonies Closing Ceremonies Very Important Closing Ceremonies Important Closing Ceremonies Somewhat Important Closing Ceremonies Not important Closing Ceremonies N/A Free Time Free Time Very Important Free Time Important Free Time Somewhat Important Free Time Not important Free Time N/A Question Title * 10. Overall, how well has World Burn Congress met your expectations so far? Better than expected As Expected Less than Expected Question Title * 11. Which programs/resources of Phoenix Society have been valuable to you? SOAR (peer support) The Journey Back (school reentry) Phoenix Educational Grant Program (scholarships for burn survivor students) The George Pessotti WBC Scholarship Fund Online Learning (Beyond Surviving...Tools for Thiving) Prevention and Advocacy Burn Support News Online Resource Center and Support Community World Burn Congress Other (please specify) Question Title * 12. Did you download the WBC 2014 Android or iOS App? Yes No Question Title * 13. If you answered YES to question 12, Please tell what you think of the App. Hated it! I don't like it, but I don't hate it! Ok! I like it! Loved it! Hated it! I don't like it, but I don't hate it! Ok! I like it! Loved it! Question Title * 14. How would you describe World Burn Congress? Question Title * 15. Optional Contact Information Name: Email Address: Phone Number: Done
