Evaluation Summary Sheet
Course Name:
Site:
NN/LM Region:
Credit Hours:
Date:
Name(s) of Trainers:
Total Number of Physician Participants:
Total Number of Non-Physicians Attending:
Total Attendees:
Total Number of Evaluations:
Question 1a (I acquired the an understanding of the data content in MedlinePlus, ClinicalTrials.gov, PubMed, PHpartners.org and the Gateway.)
- Total number of respondents:
- Total No response:
- Total Not Applicable:
- Mean Score:
- Range:
Question 1b (I learned to formulate a basic search strategy using these resources.)
- Total number of respondents:
- Total No response:
- Total Not Applicable:
- Mean Score:
- Range:
Question 1c (I became familiar with special features/functions of these resources.)
- Total number of respondents:
- Total No response:
- Total Not Applicable:
- Mean Score:
- Range:
Question 2 (The overall quality of the instructional process was an asset to the program..)
- Total number of respondents:
- Total No response:
- Total Not Applicable:
- Mean Score:
- Range:
Question 3 (To what extent did participation in this activity enhance your professional effectiveness?)
- Total number of respondents:
- Total No response:
- Total Not Applicable:
- Mean Score:
- Range
Question 4 (Did you perceive any commerical bias?.)
- Total number of respondents:
- Total responding NO:
- Total responding YES:
- Total no response:
Question 5. What comments or suggestions do you have for the faculty presenter(s)?
Question 6 . What will you do differently as a result of attending this educational activity?
Question 7. Are there any other speakers or new topics you would like to have covered in this or a related activity?
Question 8. Do you have additional comments to enhance the utility or impact of the activity?
Question 9. May we have your permission to contact you by e-mail at a later date about the impact this training may have had on your clinical practice?
Total Yes:
Total No:
