Module 10. Survey

1. Was this content new to you?

No, very familiar
Some basic knowledge
Yes, very unfamiliar

2. What did you hope to learn and take away from this training? What were the key topics you wanted to learn about?

3. Is there any pre-training knowledge that would have improved your readiness to learn this material?

Yes
No

4. Did the training meet your expectations?

Yes
No

5. How would you rate the overall quality of this training session?

Poor
Below average
Good
Very good

6. Was the training program engaging?

Yes
No

7. Was the training program well-organized and easy to follow?

Yes
No

8. Did you find the training materials practical, intuitive, and helpful?

Yes
No

9. Do you feel competent and confident on the topic of rationale for early diagnosis at the end of the training program?

Yes
No

10. Do you feel competent and confident on the topic of your roles and responsibilities in early detection at the end of the training program?

Yes
No
Somewhat

11. Do you feel competent and confident on the topic of developmental risks and warning signs for disability at the end of the training program?

Yes
No
Somewhat

12. Do you feel competent and confident on the topic of evidence based therapies at the end of the training program?

Yes
No
Somewhat

13. Please describe areas for improvement

14. Please select your degree

MD/DO
RN
PhD
Other

15. Will your practice of medicine change as a result of participating in this activity? If yes, please explain what you expect to change and how this will impact your practice.

16. Please select any factors or barriers that are preventing you from implementing a change in your practice:

Lack of time to assess or counsel patients
Lack of administrative support/resources
Insurance/reimbursement issues
Patient compliance issues
Cost
No perceived barriers
Other: (specify)

17. How much of what was discussed was timely and will assist you in improving patient care?

Not at all
Somewhat
Very

Early Detection of CP for Primary Care

Module 10. Survey Quiz

1. Was this content new to you?

2. What did you hope to learn and take away from this training? What were the key topics you wanted to learn about?

3. Is there any pre-training knowledge that would have improved your readiness to learn this material?

4. Did the training meet your expectations?

5. How would you rate the overall quality of this training session?

6. Was the training program engaging?

7. Was the training program well-organized and easy to follow?

8. Did you find the training materials practical, intuitive, and helpful?

9. Do you feel competent and confident on the topic of rationale for early diagnosis at the end of the training program?

10. Do you feel competent and confident on the topic of your roles and responsibilities in early detection at the end of the training program?

11. Do you feel competent and confident on the topic of developmental risks and warning signs for disability at the end of the training program?

12. Do you feel competent and confident on the topic of evidence based therapies at the end of the training program?

13. Please describe areas for improvement

14. Please select your degree

15. Will your practice of medicine change as a result of participating in this activity? If yes, please explain what you expect to change and how this will impact your practice.

16. Please select any factors or barriers that are preventing you from implementing a change in your practice:

17. How much of what was discussed was timely and will assist you in improving patient care?

18. If your answer to the previous question was no, please identify products/services, faculty and/or presentation:

19. What other CME topics would help you in your practice?