Arkansas Office of Long-Term Care Education Activity Evaluation Tool
TITLE: Black, Brown and the Challenges of Dying Well DATE: December 8th, 2020
Email address *
Your name *
Credentials *
Address, City, State, Zip Code *
Information requested will be used to evaluate this education activity and plan future CE activities. You must complete this form to receive continuing education credit (contact hours).
OBJECTIVES
This CE activity help me achieve the stated objectives in the following questions. (Please check the box that in your opinion, is most appropriate).
Identify approaches to overcome challenges minorities encounter when facing death *
Required
Discuss challenges minorities encounter when facing death *
Required
RATE FACULTY:
Strongly Disagree (unfavorable) to Strongly Agree (favorable)
Dr. Lewis Shepherd, Jr. *
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Presentation organized, easy to follow
Clarified response to questions
Presented current information
Dr. Mitzi Washington *
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Presentation organized, easy to follow
Clarified response to questions
Presented current information
Reba Gaines *
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Presentation organized, easy to follow
Clarified response to questions
Presented current information
Additional Comments *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy