Exit this survey Webcast- Knowledge in Motion Series- Emergency Prepareness 3-14-13 Question Title * 1. Please indicate below how you viewed this lecture. Attended a live webcast Viewed a past webcast online Viewed the DVD Question Title * 2. Where did you view the lecture? At home At a health care facility or support group (please provide name below) Other (please specify below) Details: Question Title * 3. If you attended the live webcast, do you feel that it was a positive experience? Yes No (if not please explain) Not Applicable Comments Question Title * 4. Did you have any technical problems related to the live webcast? Yes (please explain) No Not Applicable Please explain any technical problems: Question Title * 5. How relevant to your needs was this presentation? Very Relevant Somewhat Relevant Not At All relevant Question Title * 6. Did you find the information presented during this lecture helpful in your everyday life? Yes No Question Title * 7. Do you feel there was enough time for questions during the live webcast? Yes No Not Applicable Question Title * 8. Do you feel the speaker was knowledgeable about the topic he/she presented? Very knowledgeable Somewhat knowledgeable Not at all knowledgeable Question Title * 9. Overall, did the presentation meet your expectations? Completely met my expectations Partially met my expectations (please explain) Did not meet my expectations (please explain) Comments Question Title * 10. Please indicate if you feel the speaker met the following Learning Objectives of tonights lecture. Met the Objective Partially Met the Objective Did Not Meet the Objective Attendees will be able to understand how to prepare for emergencies by developing a personalized plan that meets their particular needs. Attendees will be able to understand how to prepare for emergencies by developing a personalized plan that meets their particular needs. Met the Objective Attendees will be able to understand how to prepare for emergencies by developing a personalized plan that meets their particular needs. Partially Met the Objective Attendees will be able to understand how to prepare for emergencies by developing a personalized plan that meets their particular needs. Did Not Meet the Objective Attendees will learn about resources that can help individuals identify emergency support services in their own areas. Attendees will learn about resources that can help individuals identify emergency support services in their own areas. Met the Objective Attendees will learn about resources that can help individuals identify emergency support services in their own areas. Partially Met the Objective Attendees will learn about resources that can help individuals identify emergency support services in their own areas. Did Not Meet the Objective Additional Comments Question Title * 11. Do you have any suggestions for future lecture topics or speakers? Question Title * 12. Would you recommend the Knowledge in Motion webcast series to others? Yes No Question Title * 13. If you would like to be added to our mailing list please fill out the information below. Name: Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: Email Address: Phone Number: Done