Pre Survey Pre-Infant Mortality Advisory Council Learning Opportunity Evaluation - May 17, 2018
Email address *
First Name *
Your answer
Last Name *
Your answer
Please Indicate Your Profession *
Please enter the MI County that you represent
Your answer
Do These Meetings Add Value to Your Current Work? *
1=Strongly Disagree
5-Strongly Agree
This Program Has Increased, Improved, or Positively Impacted My: *
Do you feel the program was scientifically sound and free of commercial bias? *
Was the Format of this program appropriate for the content presented? *
Please Rate the Following Presentation - Current Literature Review - Robin Jacobs *
1=Unclear
5=Helpful and Informative
Please Rate the Following Presentation - Patient Engagement Panel - All *
1=Unclear
5=Helpful and Informative
Why did you rate the presentations the way you did (example: one presentation was more beneficial to my work, one presentation was not applicable to my work, etc.)?
Your answer
Who would you like to see at these meetings? (stakeholders, community workers, local health department, etc.)
Your answer
What is the likelihood that you will attend the May 17, 2018 Meeting @ Delta Dental, 4100 Okemos Rd., Okemos MI 48864
1=Unlikely
5=Very Likely
Based on your educational needs, please list any topics you would like to see addressed in future educational activities.
Your answer
Other Comments (share anything you'd like but we are particularly interested in topics, formats, speakers, etc.)
Your answer
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