A
HRQ
Complex Patient Research
Group Technical Assistance Evaluation
Form
Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX
[Webinar] Title:
[Webinar] Leader:
1. This [INSERT TYPE OF TA HERE, e.g., webinar]…
___ did not meet my expectations
___ met my expectations
___ exceeded my expectations
The leader(s) of this [webinar] had the knowledge and expertise to deliver the information in an effective manner.
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Completely Disagree |
Completely Agree |
I gained information and knowledge through my participation in this [webinar] that will be helpful in my research.
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Completely Disagree |
Completely Agree |
I am likely to make changes to my research (study design/ protocol/ implementation/ analysis/ results interpretation) because of information or knowledge I gained from this [webinar].
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Completely Disagree |
Completely Agree |
Public
reporting burden for this collection of information is estimated to
average 5
minutes per response, the estimated time required to complete
the survey. An agency may not conduct or sponsor, and a person
is not required to respond to, a collection of information unless it
displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing
this burden, to: AHRQ Reports Clearance Officer Attention: PRA,
Paperwork Reduction Project (0935-XXXX) AHRQ,
540 Gaither Road, Room # 5036, Rockville, MD 20850.
Please tell us how this [webinar] could have been better/more useful:
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Other comments:
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File Type | application/msword |
File Title | Participation Survey – Baseline |
Author | Connal McCullough |
Last Modified By | DHHS |
File Modified | 2011-10-05 |
File Created | 2011-10-05 |