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American Burn Association
2014 Workforce Conference
Evaluation Form

Thank you for your attendance at the 2014 Educating the Burn Team Workforce Conference. Please take a moment to complete the questionnaire. Your input will help improve future conferences.

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* Please indicate your discipline:

BSN

CCRN

CCRP

FACS

FCCM

FNP-BC

MBA

MSN

PA-C

PhD

Other (please specify)

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* Are you an ABA member?

Yes

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* How many years have you been a member?

I'm a new member

1 - 2 years

2 - 5 years

5 - 7 years

7 - 10 years

10 -15 years

15 - 20 years

20 or more years

I'm not a member

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* Tuesday Morning Sessions: Please read each statement and select the response that best reflects your opinion:

	Excellent	Very Good	Good	Fair	Poor
Specialty Nurse Education and Certification	Specialty Nurse Education and Certification Excellent	Specialty Nurse Education and Certification Very Good	Specialty Nurse Education and Certification Good	Specialty Nurse Education and Certification Fair	Specialty Nurse Education and Certification Poor
Specialty Physician Education and Certification	Specialty Physician Education and Certification Excellent	Specialty Physician Education and Certification Very Good	Specialty Physician Education and Certification Good	Specialty Physician Education and Certification Fair	Specialty Physician Education and Certification Poor
Specialty Therapist Education and Certification	Specialty Therapist Education and Certification Excellent	Specialty Therapist Education and Certification Very Good	Specialty Therapist Education and Certification Good	Specialty Therapist Education and Certification Fair	Specialty Therapist Education and Certification Poor
Professional Societies and Specialty Education: Lessons Learned	Professional Societies and Specialty Education: Lessons Learned Excellent	Professional Societies and Specialty Education: Lessons Learned Very Good	Professional Societies and Specialty Education: Lessons Learned Good	Professional Societies and Specialty Education: Lessons Learned Fair	Professional Societies and Specialty Education: Lessons Learned Poor

Additional Comments:

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* Breakout Sessions: Please indicate which session you attended:

Nurses

Physicians

Therapists

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* Please read each statement and select the response that best reflects your opinion:

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
The workshop format allowed for open discussion of issues	The workshop format allowed for open discussion of issues Strongly Agree	The workshop format allowed for open discussion of issues Agree	The workshop format allowed for open discussion of issues Disagree	The workshop format allowed for open discussion of issues Strongly Disagree	The workshop format allowed for open discussion of issues N/A
Moderators were effective in leading discussion	Moderators were effective in leading discussion Strongly Agree	Moderators were effective in leading discussion Agree	Moderators were effective in leading discussion Disagree	Moderators were effective in leading discussion Strongly Disagree	Moderators were effective in leading discussion N/A
Effective consensus was reached at the conclusion of the breakout session	Effective consensus was reached at the conclusion of the breakout session Strongly Agree	Effective consensus was reached at the conclusion of the breakout session Agree	Effective consensus was reached at the conclusion of the breakout session Disagree	Effective consensus was reached at the conclusion of the breakout session Strongly Disagree	Effective consensus was reached at the conclusion of the breakout session N/A
The ABA should continue to focus on burn training and certification as an initiative	The ABA should continue to focus on burn training and certification as an initiative Strongly Agree	The ABA should continue to focus on burn training and certification as an initiative Agree	The ABA should continue to focus on burn training and certification as an initiative Disagree	The ABA should continue to focus on burn training and certification as an initiative Strongly Disagree	The ABA should continue to focus on burn training and certification as an initiative N/A

American Burn Association
2014 Workforce Conference
Evaluation Form

Question Title

* Please indicate your discipline:

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* Are you an ABA member?

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* How many years have you been a member?

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* Tuesday Morning Sessions: Please read each statement and select the response that best reflects your opinion:

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* Breakout Sessions: Please indicate which session you attended:

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* Please read each statement and select the response that best reflects your opinion:

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* What were the strengths of this conference?

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* What aspects of the conference could be improved?

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* How will the information from this conference be used in your practice?

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* Additional Comments: