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Recognizing Microaggressions and their Impact in the Workplace Evaluation Form
Profession Type (please choose all that apply):
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OP Clinician
Physical Therapist
Occupational Therapist
Case Manager
Social Worker
Physician
Students
Nurse
Other, please specify
Other Profession Type:
Course Assessment
*
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Scientific evidence was provided to substantiate course content
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Information presented will be useful in my healthcare career
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Information was presented free from commercial bias
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Technology was user-friendly & appropriate to support participant learning
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Speaker Assessment (Maggie Baumer)
*
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was professional and knowledgeable on course content
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was qualified and held my interest
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was timely and organized
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Speaker Assessment (Nina Bondre)
*
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was professional and knowledgeable on course content
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was qualified and held my interest
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was timely and organized
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Speaker Assessment (Kathleen Carroll)
*
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was professional and knowledgeable on course content
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was qualified and held my interest
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was timely and organized
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Speaker Assessment (Robert Salone)
*
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was professional and knowledgeable on course content
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was qualified and held my interest
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
The speaker was timely and organized
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Course Objective Assessment
The course has met the below learning objectives and I am now able to:
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Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
define workplace microaggressions
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
recognize when a microaggression has occurred and what message it may be sending
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
design strategies for how to address microaggressions in the workplace
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Self-Assessment Tool: How confident were you in your knowledge?
*
Very Confident
Fairly Confident
Somewhat Confident
Not Confident
Before the course?
Very Confident
Fairly Confident
Somewhat Confident
Not Confident
After the course?
Very Confident
Fairly Confident
Somewhat Confident
Not Confident
How likely would you be to recommend Hanger Clinic’s Virtual Classroom to a colleague or friend?
*
10 - Extremely Likely
9
8
7
6
5
4
3
2
1
0 - Not at all Likely
Why?
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What were the key takeaways from this course that you will use as a health care professional?
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Suggestions for improvement?
Additional topics we should offer in the future?