2016 National Ryan White Conference on HIV Care and Treatment Conference Evaluation

Activity evaluation for Sample educational session
Please fill in the following form to help us improve our future educational activities. Click the

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of continuing education credit or attendance.
Please rate the following aspects of this educational activity on a descending scale where 5 = excellent to 1 = poor.
Rating

5

4

3

2

1

Overall quality of the educational activity:
Effectiveness ofTeaching
teachingstrategy
strategy employed:
employed:
Relevance of the educational activity to your practice:
Quality of the materials used in the activity:
Helpfulness of the presented information:
Contributed to my knowledge, skills, and attitude to enhance the delivery of patient care:
The intended result of this activity is improvement in competence, performance, and client care. Please rate the eff ectiveness of this activity to fulfill these learning objectives and achieve the intended result on a descending scale where 5 = excellent to 1 = poor.
Learning Objective

5

4

3

2

1

3

2

1

Sample educational learning objective #1
Sample educational learning objective #2
Sample educational learning objective #3
Please rate the presenter for this educational activity on a descending scale where 5 = excellent to 1 = poor.

Multiple
Faculty Evaluation

5

4

Presentation Style:
Organization and Clarity:
Expertise:
Relevance to objectives:
Please answer the following questions as they relate to this educational activity.
Based on your previous knowledge and experience, the level of this activity
was:
Do you feel that the activity was objective, balanced, and free of commercial
bias?

Too basic

Appropriate

Yes

No

Yes

No

If no, why not?

Did the presenter(s) make a disclosure statement during the activity?

Too complex

Was the activity supported by scientifically-rigorous or evidence-based data?

Yes

No

Did this activity meet your educational needs?

Yes

No

If no, why not?

Please rate how much you agree that this educational activity has contributed to your professional eff ectiveness and ability to execute the
following, using a descending scale where 5 = strongly agree to 1 = strongly disagree:
Improvement Area

5

4

3

2

Treat and/or manage my clients:
Communicate with clients:
Manage my practice:
After completing this activity, do you anticipate changing any of your client
care practices?

Yes

No

If you answered “yes,” what do you anticipate changing; or, how will you integrate what you learned into practice?

Do you see any barriers to implementing these changes?

Yes

No

If you answer “yes,” please rate these barriers:
Major Barrier
5

Little or No Barrier
4

3

Do you think this session should be repeated at future conferences?

Yes

2

Organization:
Current policy/procedure:
Technology:
Financial:
Research:
Other: (please list). . . . . . . . . . . . . . . . . . . . . . . . . . . .

No

1

1

Based on my educational needs, I would like to see the following topics addressed in future educational activities:

Comments or suggestions for improvement:

Proceed