Complete Evaluation

Professional Practice Skillset *

For this educational activity, rate the level of your professional practice skillset, before and after the education.

	Expert	Proficient	Competent	Advance Beginner	Novice
The level of my professional practice skillset related to the content topic(s) BEFORE completing this education was:	The level of my professional practice skillset related to the content topic(s) BEFORE completing this education was: - Expert	The level of my professional practice skillset related to the content topic(s) BEFORE completing this education was: - Proficient	The level of my professional practice skillset related to the content topic(s) BEFORE completing this education was: - Competent	The level of my professional practice skillset related to the content topic(s) BEFORE completing this education was: - Advance Beginner	The level of my professional practice skillset related to the content topic(s) BEFORE completing this education was: - Novice
The level of my professional practice skillset related to the content topic(s) AFTER completing this education is:	The level of my professional practice skillset related to the content topic(s) AFTER completing this education is: - Expert	The level of my professional practice skillset related to the content topic(s) AFTER completing this education is: - Proficient	The level of my professional practice skillset related to the content topic(s) AFTER completing this education is: - Competent	The level of my professional practice skillset related to the content topic(s) AFTER completing this education is: - Advance Beginner	The level of my professional practice skillset related to the content topic(s) AFTER completing this education is: - Novice

Activity Statements *

Please indicate the degree to which you agree or disagree with the following statements:

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	N/A
I achieved the stated learning objectives.	I achieved the stated learning objectives. - Strongly Agree	I achieved the stated learning objectives. - Agree	I achieved the stated learning objectives. - Neither Agree nor Disagree	I achieved the stated learning objectives. - Disagree	I achieved the stated learning objectives. - Strongly Disagree	I achieved the stated learning objectives. - N/A
The educational content was relevant to my professional practice.	The educational content was relevant to my professional practice. - Strongly Agree	The educational content was relevant to my professional practice. - Agree	The educational content was relevant to my professional practice. - Neither Agree nor Disagree	The educational content was relevant to my professional practice. - Disagree	The educational content was relevant to my professional practice. - Strongly Disagree	The educational content was relevant to my professional practice. - N/A
This education positively impacts my professional practice as a member of the healthcare team.	This education positively impacts my professional practice as a member of the healthcare team. - Strongly Agree	This education positively impacts my professional practice as a member of the healthcare team. - Agree	This education positively impacts my professional practice as a member of the healthcare team. - Neither Agree nor Disagree	This education positively impacts my professional practice as a member of the healthcare team. - Disagree	This education positively impacts my professional practice as a member of the healthcare team. - Strongly Disagree	This education positively impacts my professional practice as a member of the healthcare team. - N/A
This activity met my educational need(s).	This activity met my educational need(s). - Strongly Agree	This activity met my educational need(s). - Agree	This activity met my educational need(s). - Neither Agree nor Disagree	This activity met my educational need(s). - Disagree	This activity met my educational need(s). - Strongly Disagree	This activity met my educational need(s). - N/A
This educational format is an effective engagement strategy for delivering the content.	This educational format is an effective engagement strategy for delivering the content. - Strongly Agree	This educational format is an effective engagement strategy for delivering the content. - Agree	This educational format is an effective engagement strategy for delivering the content. - Neither Agree nor Disagree	This educational format is an effective engagement strategy for delivering the content. - Disagree	This educational format is an effective engagement strategy for delivering the content. - Strongly Disagree	This educational format is an effective engagement strategy for delivering the content. - N/A
This educational format allowed me to learn with, from, and about other members of the healthcare team.	This educational format allowed me to learn with, from, and about other members of the healthcare team. - Strongly Agree	This educational format allowed me to learn with, from, and about other members of the healthcare team. - Agree	This educational format allowed me to learn with, from, and about other members of the healthcare team. - Neither Agree nor Disagree	This educational format allowed me to learn with, from, and about other members of the healthcare team. - Disagree	This educational format allowed me to learn with, from, and about other members of the healthcare team. - Strongly Disagree	This educational format allowed me to learn with, from, and about other members of the healthcare team. - N/A

I will apply what I have learned from this activity to enhance my contribution to the healthcare team. *

Agree

Disagree

Commitment to Practice Change

Please list at least one idea or takeaway this activity presented that you plan to share or implement within your healthcare team. *

What barriers keep you from implementing new skills/strategies to your professional practice? *

What strategies could you employ to address them?

What issues are you experiencing in your practice and/or professional responsibilities that could be addressed in a future educational activity?

What feedback can we share with the presenters?

What additional comments do you have about the activity?

This activity was free from the marketing or sales of products or services. *

Agree

Disagree

If you disagree, please describe:

This activity was free of commercial bias, meaning it did not show favoritism of a specific product or service of an ineligible company. *

Agree

Disagree

If you disagree, please describe:

Leave this field blank

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Commitment to Practice Change