Nordic Western Event Survey

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* 1. Event Information

What Event Did you Attend?

What was the Name of your Clinician?

What was the Date and Location of the Event?

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* 2. Please Give your Feedback for your Clinician's Overall Performance running the event.

	Did Not Meet	Met Some, Not All	Met	Met All and Exceeded Some	Exceeded All
Clinician Communication Skills:	Clinician Communication Skills: Did Not Meet	Clinician Communication Skills: Met Some, Not All	Clinician Communication Skills: Met	Clinician Communication Skills: Met All and Exceeded Some	Clinician Communication Skills: Exceeded All
Clinician Feedback Skills:	Clinician Feedback Skills: Did Not Meet	Clinician Feedback Skills: Met Some, Not All	Clinician Feedback Skills: Met	Clinician Feedback Skills: Met All and Exceeded Some	Clinician Feedback Skills: Exceeded All
Clinician's Ability to Lead the Group Effectively:	Clinician's Ability to Lead the Group Effectively: Did Not Meet	Clinician's Ability to Lead the Group Effectively: Met Some, Not All	Clinician's Ability to Lead the Group Effectively: Met	Clinician's Ability to Lead the Group Effectively: Met All and Exceeded Some	Clinician's Ability to Lead the Group Effectively: Exceeded All
Clinician's Ability to Respond to the Goals of the Group Effectively:	Clinician's Ability to Respond to the Goals of the Group Effectively: Did Not Meet	Clinician's Ability to Respond to the Goals of the Group Effectively: Met Some, Not All	Clinician's Ability to Respond to the Goals of the Group Effectively: Met	Clinician's Ability to Respond to the Goals of the Group Effectively: Met All and Exceeded Some	Clinician's Ability to Respond to the Goals of the Group Effectively: Exceeded All
Clinician's Safety Awareness:	Clinician's Safety Awareness: Did Not Meet	Clinician's Safety Awareness: Met Some, Not All	Clinician's Safety Awareness: Met	Clinician's Safety Awareness: Met All and Exceeded Some	Clinician's Safety Awareness: Exceeded All
Clinician's Ability to Make it Enjoyable and Educational:	Clinician's Ability to Make it Enjoyable and Educational: Did Not Meet	Clinician's Ability to Make it Enjoyable and Educational: Met Some, Not All	Clinician's Ability to Make it Enjoyable and Educational: Met	Clinician's Ability to Make it Enjoyable and Educational: Met All and Exceeded Some	Clinician's Ability to Make it Enjoyable and Educational: Exceeded All
Clinician's Ability to Demonstrate the Tasks and Maneuvers Effectively:	Clinician's Ability to Demonstrate the Tasks and Maneuvers Effectively: Did Not Meet	Clinician's Ability to Demonstrate the Tasks and Maneuvers Effectively: Met Some, Not All	Clinician's Ability to Demonstrate the Tasks and Maneuvers Effectively: Met	Clinician's Ability to Demonstrate the Tasks and Maneuvers Effectively: Met All and Exceeded Some	Clinician's Ability to Demonstrate the Tasks and Maneuvers Effectively: Exceeded All

Comments

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* 3. Did the Instructor allow too much time for discussion, too little time, or about the right amount of time?

Much too much

Somewhat too much

Slightly too much

About the right amount

Slightly too little

Somewhat too little

Much too little

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* 4. What Would Encourage You to Attend More Educational Events?

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* 5. How did you hear about this event?

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* 6. How easy was the registration process for this event?

Extremely easy

Very easy

Moderately easy

Slightly easy

Not at all easy

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* 7. Overall, were you satisfied with the event, neither satisfied nor dissatisfied with it, or dissatisfied with it?

Extremely satisfied

Moderately satisfied

Slightly satisfied

Neither satisfied nor dissatisfied

Slightly dissatisfied

Moderately dissatisfied

Extremely dissatisfied