Global Dental Ambassadors/Zambia: Host Survey Post-Trip
This survey should take about 10-minutes to complete.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Gender *
Birth Year *
Name of Current Institution *
Role with your Institution *
Please rate the level of oral health knowledge you shared with the U.S.-based visitors on a formal and/or informal basis (e.g., clinical, didactic, health system, patient populations, delivery system, oral health education system, payer system, challenges, etc.). *
5=High; 1=Low
Please rate the level of knowledge about your local culture you shared with our global collaborators (e.g., history, social, economic, political, popular culture, etc.) *
5=High; 1=Low
Please rate the level of oral health knowledge you learned from the U.S.-based visitors on a formal and/or informal basis (e.g., clinical, didactic, health system, patient populations, delivery system, payer system, oral health education system, challenges, etc.) *
5=High; 1=Low
Please rate the level of knowledge about United States culture you learned from the U.S.-based visitors (e.g., history, social, economic, political, popular culture, etc.) *
5=High; 1=Low
Rate your overall value/impact received by you from your experience as a participant on this academic programme *
5=High; 1=Low. 5 = ខ្ពស់; 1 = ទាប
Would you recommend other dental professional friends and colleagues to attend a Global Dental Ambassador academic programme with the U.S.-led collaborators? *
Would you participate on a future programme by the U.S.-led collaborators? *
Would you like to lead, host, and coordinate a visit by the U.S.-led collaborators at your institution in the future? *
Presenters
Overall rating for each presenter *
5=High; 1=Low
5
4
3
2
1
Not Applicable
Dr. David Okuji (Programme Moderator)
Dr. Hawra Al-Janobi (Oral Pathology)
Dr. Darren Cox (Oral Pathology)
Dr. Jos Hille (Oral Pathology)
Dr. Ritesh Srii (Oral Pathology)
Dr. Kevin Zimmerman (Community Dentistry)
Dr. Anjali Kumar (Dental Public Health)
Dr. Brian Lu (Endodontics)
Dr. Willie Chao (Pediatric Dentistry)
Dr. Lynn Fujimoto (Pediatric Dentistry)
Dr. Mahnaz Heydari (Pediatric Dentistry)
Dr. Oariona Lowe (Pediatric Dentistry)
Dr. Susan Sergie (Pediatric Dentistry)
Dr. Laura Moon (Periodontics)
Dr. Evangelos Rossopoulos (Prothodontics)
Please enter any comments you would like to make about specific U.S.-led members/ambassadors which highlights their strengths and areas for improvement.
Your answer
Please enter any comments you would like to make which will support or improve the operations of the Global Dental Ambassador volunteer program for visits by the U.S.-led visitors.
Your answer
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