(Name) Seminar - (Date) MASTER

Please complete this survey to complete this seminar session. Once the survey is done you will be awarded the contact hours for the program. Thank you!
Name: 


  1. At the end of this program, I was able to:

    Describe the purpose for the seminar and its individual components.
      1 2 3 4 5  
    Excellent   Poor


  1. At the end of this program, I was able to:

    Explain general aging and the differences of persons with Alzheimer's disease and other dementias.
      1 2 3 4 5  
    Excellent   Poor


  1. This session content was well-organized.
      1 2 3 4 5  
    Excellent   Poor


  1. (Presenters Name) demonstrated expertise in the content area.
      1 2 3 4 5  
    Excellent   Poor


  1. Teaching methodologies were appropriate for the content presented.
      1 2 3 4 5  
    Excellent   Poor


  1. The instructional materials (handouts, etc.) helped me understand the content.
      1 2 3 4 5  
    Excellent   Poor


  1. Appropriateness of physical facilities.
      1 2 3 4 5  
    Excellent   Poor


  1. The following were disclosed in writing prior to the start of this educational activity:

    Notice of requirements for successful completion.
    Yes
    No


  1. The following were disclosed in writing prior to the start of this educational activity:

    Conflict of Interest.
    Yes
    No


  1. Did you as a participant notice any bias not previously disclosed in the program?
    Yes
    No


  1. If you answered yes to the previous questions, please describe who was biased and how.


  1. Comments and suggestions for future programs.


  1. Are you on our mailing list? If not and you would like to receive information about future continuing education programs, please include an e-mail address and/or mailing address including your name.


  1. How did you find out about this presentation?
    Continuing Education Brochure
    Schedule of Classes
    Flyers
    Word of Mouth
    Work
    Student
    Nursing Matters
    STAT Bulletin
    E-mail
    Other





School of Health General
WI