Form 3 Post-training survey to assess experiences with SHARE tr

Evaluation of the SHARE Approach Model

Clinician Post-survey_Clean_3.18.2020

Clinician survey

OMB: 0935-0253

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Post-training survey to assess experiences with SHARE training:


Today's date: __________________________________

Your name (please print legibly):_____________________________________

Please list your email address: _______________________________________


  1. Now that you have received the SHARE Approach training, how confident are you in your understanding of what shared decision-making is?

___ Not at all confident

___ Slightly confident

___ Somewhat confident

___ Fairly confident

___ Completely confident


  1. Now that you have received the SHARE Approach training, how confident are you in your ability to engage in shared decision-making with your patients?

___ Not at all confident

___ Slightly confident

___ Somewhat confident

___ Fairly confident

___ Completely confident


  1. Now that you have received the SHARE Approach training, how often do you think you will engage in shared decision-making with your patients?

___ Almost always

___ Often

___ Sometimes

___ Rarely

___ Never


  1. Now that you have received SHARE Approach training, how often do you think patients’ preferences should be taken into account when making clinical decisions?

___ Almost always

___ Often

___ Sometimes

___ Rarely

___ Never


Evaluation of SHARE Training:


  1. Do you think that the SHARE Approach training will be useful for your daily practice?

___ Strongly agree

___ Agree

___ Undecided

___ Disagree

___ Strongly disagree


  1. Do you think that the SHARE Approach training will improve your ability to engage in shared decision making with your patients?

___ Strongly agree

___ Agree

___ Undecided

___ Disagree

___ Strongly disagree


  1. Overall, what was your experience of the training that you received today?

___ Very positive

___ Somewhat positive

___ Neutral

___ Somewhat negative

___ Very negative


  1. What part of the training did you find to be the MOST valuable?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. What part of the training did you find to be the LEAST valuable?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. What suggestions do you have for improving the SHARE Approach training?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________









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