Brethren Village IV Class Survey

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The Program met its stated objectives	The Program met its stated objectives Strongly Disagree	The Program met its stated objectives Disagree	The Program met its stated objectives Neutral	The Program met its stated objectives Agree	The Program met its stated objectives Strongly Agree
Overall this course met my expectations	Overall this course met my expectations Strongly Disagree	Overall this course met my expectations Disagree	Overall this course met my expectations Neutral	Overall this course met my expectations Agree	Overall this course met my expectations Strongly Agree
The program content was relevant to my work and extended my knowledge	The program content was relevant to my work and extended my knowledge Strongly Disagree	The program content was relevant to my work and extended my knowledge Disagree	The program content was relevant to my work and extended my knowledge Neutral	The program content was relevant to my work and extended my knowledge Agree	The program content was relevant to my work and extended my knowledge Strongly Agree
The program presented information that I can apply to my daily practice on my unit	The program presented information that I can apply to my daily practice on my unit Strongly Disagree	The program presented information that I can apply to my daily practice on my unit Disagree	The program presented information that I can apply to my daily practice on my unit Neutral	The program presented information that I can apply to my daily practice on my unit Agree	The program presented information that I can apply to my daily practice on my unit Strongly Agree
I believe other staff members who work on my unit would benefit from this education	I believe other staff members who work on my unit would benefit from this education Strongly Disagree	I believe other staff members who work on my unit would benefit from this education Disagree	I believe other staff members who work on my unit would benefit from this education Neutral	I believe other staff members who work on my unit would benefit from this education Agree	I believe other staff members who work on my unit would benefit from this education Strongly Agree
There was an adequate supply of equipment that was clean and in good working order	There was an adequate supply of equipment that was clean and in good working order Strongly Disagree	There was an adequate supply of equipment that was clean and in good working order Disagree	There was an adequate supply of equipment that was clean and in good working order Neutral	There was an adequate supply of equipment that was clean and in good working order Agree	There was an adequate supply of equipment that was clean and in good working order Strongly Agree
The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience	The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Strongly Disagree	The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Disagree	The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Neutral	The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Agree	The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Strongly Agree
The program resource materials (Textbooks, outlines, handouts) were useful	The program resource materials (Textbooks, outlines, handouts) were useful Strongly Disagree	The program resource materials (Textbooks, outlines, handouts) were useful Disagree	The program resource materials (Textbooks, outlines, handouts) were useful Neutral	The program resource materials (Textbooks, outlines, handouts) were useful Agree	The program resource materials (Textbooks, outlines, handouts) were useful Strongly Agree
The classroom environment was conducive to learning	The classroom environment was conducive to learning Strongly Disagree	The classroom environment was conducive to learning Disagree	The classroom environment was conducive to learning Neutral	The classroom environment was conducive to learning Agree	The classroom environment was conducive to learning Strongly Agree
There were adequate and appropriate physical facilities for this course	There were adequate and appropriate physical facilities for this course Strongly Disagree	There were adequate and appropriate physical facilities for this course Disagree	There were adequate and appropriate physical facilities for this course Neutral	There were adequate and appropriate physical facilities for this course Agree	There were adequate and appropriate physical facilities for this course Strongly Agree
I would recommend this course to my colleagues	I would recommend this course to my colleagues Strongly Disagree	I would recommend this course to my colleagues Disagree	I would recommend this course to my colleagues Neutral	I would recommend this course to my colleagues Agree	I would recommend this course to my colleagues Strongly Agree
The program was presented at an appropriate pace conducive to learning.	The program was presented at an appropriate pace conducive to learning. Strongly Disagree	The program was presented at an appropriate pace conducive to learning. Disagree	The program was presented at an appropriate pace conducive to learning. Neutral	The program was presented at an appropriate pace conducive to learning. Agree	The program was presented at an appropriate pace conducive to learning. Strongly Agree
Instructors presented the material with knowledge and clarity	Instructors presented the material with knowledge and clarity Strongly Disagree	Instructors presented the material with knowledge and clarity Disagree	Instructors presented the material with knowledge and clarity Neutral	Instructors presented the material with knowledge and clarity Agree	Instructors presented the material with knowledge and clarity Strongly Agree

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

The Program met its stated objectives

The Program met its stated objectives Strongly Disagree

The Program met its stated objectives Disagree

The Program met its stated objectives Neutral

The Program met its stated objectives Agree

The Program met its stated objectives Strongly Agree

Overall this course met my expectations

Overall this course met my expectations Strongly Disagree

Overall this course met my expectations Disagree

Overall this course met my expectations Neutral

Overall this course met my expectations Agree

Overall this course met my expectations Strongly Agree

The program content was relevant to my work and extended my knowledge

The program content was relevant to my work and extended my knowledge Strongly Disagree

The program content was relevant to my work and extended my knowledge Disagree

The program content was relevant to my work and extended my knowledge Neutral

The program content was relevant to my work and extended my knowledge Agree

The program content was relevant to my work and extended my knowledge Strongly Agree

The program presented information that I can apply to my daily practice on my unit

The program presented information that I can apply to my daily practice on my unit Strongly Disagree

The program presented information that I can apply to my daily practice on my unit Disagree

The program presented information that I can apply to my daily practice on my unit Neutral

The program presented information that I can apply to my daily practice on my unit Agree

The program presented information that I can apply to my daily practice on my unit Strongly Agree

I believe other staff members who work on my unit would benefit from this education

I believe other staff members who work on my unit would benefit from this education Strongly Disagree

I believe other staff members who work on my unit would benefit from this education Disagree

I believe other staff members who work on my unit would benefit from this education Neutral

I believe other staff members who work on my unit would benefit from this education Agree

I believe other staff members who work on my unit would benefit from this education Strongly Agree

There was an adequate supply of equipment that was clean and in good working order

There was an adequate supply of equipment that was clean and in good working order Strongly Disagree

There was an adequate supply of equipment that was clean and in good working order Disagree

There was an adequate supply of equipment that was clean and in good working order Neutral

There was an adequate supply of equipment that was clean and in good working order Agree

There was an adequate supply of equipment that was clean and in good working order Strongly Agree

The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience

The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Strongly Disagree

The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Disagree

The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Neutral

The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Agree

The method of presentation (Large-group discussions, videos, scenarios) enhanced my learning experience Strongly Agree

The program resource materials (Textbooks, outlines, handouts) were useful

The program resource materials (Textbooks, outlines, handouts) were useful Strongly Disagree

The program resource materials (Textbooks, outlines, handouts) were useful Disagree

The program resource materials (Textbooks, outlines, handouts) were useful Neutral

The program resource materials (Textbooks, outlines, handouts) were useful Agree

The program resource materials (Textbooks, outlines, handouts) were useful Strongly Agree

The classroom environment was conducive to learning

The classroom environment was conducive to learning Strongly Disagree

The classroom environment was conducive to learning Disagree

The classroom environment was conducive to learning Neutral

The classroom environment was conducive to learning Agree

The classroom environment was conducive to learning Strongly Agree

There were adequate and appropriate physical facilities for this course

There were adequate and appropriate physical facilities for this course Strongly Disagree

There were adequate and appropriate physical facilities for this course Disagree

There were adequate and appropriate physical facilities for this course Neutral

There were adequate and appropriate physical facilities for this course Agree

There were adequate and appropriate physical facilities for this course Strongly Agree

I would recommend this course to my colleagues

I would recommend this course to my colleagues Strongly Disagree

I would recommend this course to my colleagues Disagree

I would recommend this course to my colleagues Neutral

I would recommend this course to my colleagues Agree

I would recommend this course to my colleagues Strongly Agree

The program was presented at an appropriate pace conducive to learning.

The program was presented at an appropriate pace conducive to learning. Strongly Disagree

The program was presented at an appropriate pace conducive to learning. Disagree

The program was presented at an appropriate pace conducive to learning. Neutral

The program was presented at an appropriate pace conducive to learning. Agree

The program was presented at an appropriate pace conducive to learning. Strongly Agree

Instructors presented the material with knowledge and clarity

Instructors presented the material with knowledge and clarity Strongly Disagree

Instructors presented the material with knowledge and clarity Disagree

Instructors presented the material with knowledge and clarity Neutral

Instructors presented the material with knowledge and clarity Agree

Instructors presented the material with knowledge and clarity Strongly Agree

Question Title

* 5. Please rate the Lead instructor's overall performance

Poor

Fair

Satisfactory

Good

Excellent

Poor

Fair

Satisfactory

Good

Excellent

Comments:

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* 6. Please rate the Assistant instructor's overall performance

Poor

Fair

Satisfactory

Good

Excellent

N/A

Poor

Fair

Satisfactory

Good

Excellent

N/A

Comments:

Question Title

* 7. To what extent do you think this workshop will help improve your patient care?

A Great Deal

Somewhat

Not Much

Not at All

A Great Deal

Somewhat

Not Much

Not at All

Why do you say this?

Question Title

* 8. Please select your level of understanding of the topic.

	Very Strong Understanding	Strong Understanding	Some Understanding	Little to No Understanding
Prior to attending the class	Prior to attending the class Very Strong Understanding	Prior to attending the class Strong Understanding	Prior to attending the class Some Understanding	Prior to attending the class Little to No Understanding
After attending the class	After attending the class Very Strong Understanding	After attending the class Strong Understanding	After attending the class Some Understanding	After attending the class Little to No Understanding

Brethren Village IV Class Survey

Introduction

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* 1. Please indicate the first day of the session.

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* 2. Lead Instructor:

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* 3. Assistant Instructor: (If None, type N/A)

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* 4. Please rate the program, and related items:

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* 5. Please rate the Lead instructor's overall performance

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* 6. Please rate the Assistant instructor's overall performance

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* 7. To what extent do you think this workshop will help improve your patient care?

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* 8. Please select your level of understanding of the topic.

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* 9. What did you like best about the class?

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* 10. What did you like least about the class?

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* 11. Do you have any other comments about the class?