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The IMPACT Study Evaluation Form
Profession Type (please choose all that apply):
*
OP Clinician
Physical Therapist
Occupational Therapist
Case Manager
Social Worker
Physician
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 (Shane Wurdeman)
*
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 (Jim Weber)
*
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 (Michelle Denning)
*
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:
*
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Discuss the three dimensions of the triple aim and why this approach is important to the health of individuals and communities
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Analyze the recently published IMPACT study to help shape education and communication to the broader healthcare community
Strongly Agree
Agree
Undecided or N/A
Disagree
Strongly Disagree
Outline possible implications of the study as it relates to an individual’s quality of life and overall health
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?
*
What were the key takeaways from this course that you will use as a health care professional?
*
Suggestions for improvement?
Additional topics we should offer in the future?