Form 2 Attachment E SPPC II Short Questionnaire Final

Form Approved
OMB No. 0935-0124
Exp. Date 11/30/2020

Thank you for completing this Module. Please provide your responses to the following questions based on your understanding of the material (It should take you about 5 minutes)

Course materials:

Q1. I found the module easy to navigate.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Q2. I liked the style and layout of the presentation.

Strongly Disagree

Disagree

Neither Agree or Disagree

Agree

Strongly Agree

Module content:

Q3. I felt the material was able to effectively teach me about this topic.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Q4. I felt that the level of the material was appropriate.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Content relevance:

Q5. I think that the presented topic and tool will be useful for my work.

Strongly Disagree

Disagree

Neither Agree or Disagree

Agree

Strongly Agree

Your responses will be kept confidential to the extent permitted by law, including AHRQ’s confidentiality statute, 42 USC 299c-3(c). That law requires that information collected for research conducted or supported by AHRQ that identifies individuals or establishments be used only for the purpose for which it was supplied unless you consent to the use of the information for another purpose. 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 (0935-0124) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.

Q6. I will be able to apply what I learned in this module in my day to day work.

Strongly Disagree

Disagree

Neither Agree or Disagree

Agree

Strongly Agree

Q7. Can you share any suggestions to improve the content and/or the delivery of this module?

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