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pdf2020 ACL Evaluation
Start of Block: Intro and Demographics
Introduction Please complete the following evaluation to let us know about your experience at
the 2020 SMP/SHIP National Conference. This evaluation can be completed on a mobile device
or a desktop/laptop computer.
Q1 Including this conference, how many SMP or SHIP National Conferences have you
attended?
o This is my first (1)
o 2–4 (2)
o 5–9 (3)
o 10 or more (4)
Q2 I work with:
o SMP (1)
o SHIP (2)
o Both SHIP and SMP (3)
o Other (Please Specify) (4) ________________________________________________
Page 1 of 26
Q3 My role is:
(Select all that apply)
▢
▢
▢
▢
SHIP Director (1)
SMP Director (2)
Volunteer Coordinator (3)
Other (Please Specify (4)
________________________________________________
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Q4 How long have you been in this role?
o 1 - 3 years (1)
o 3 - 5 years (2)
o More than 5 years (3)
Page Break
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Q5 Please rate these aspects of the overall conference:
Extremely
satisfied (5)
Somewhat
satisfied (4)
Neither
satisfied nor
dissatisfied
(3)
Somewhat
dissatisfied
(2)
Extremely
dissatisfied
(1)
Virtual Platform
(Zoom)(ex:
instructions, ease of
access) (1)
o
o
o
o
o
Conference and ACL
staff (ex:
knowledgeable/helpful)
(2)
o
o
o
o
o
o
o
o
o
o
Conference materials
provided (ex:
clarity/helpfulness) (3)
Overall conference
experience (6)
o
o
o
o
o
Page Break
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End of Block: Intro and Demographics
Start of Block: Days Attended
Q6 Which of the following day(s) did you attend? Select all that apply.
▢
▢
▢
Day 1 (1)
Day 2 (2)
Day 3 (3)
End of Block: Days Attended
Start of Block: Day 1
Day 1 Please answer the following questions about the sessions from Day 1.
Q1.1 Overall I was satisfied with the presentations and activities from Day 1.
o Strongly agree (5)
o Somewhat agree (4)
o Neither agree nor disagree (3)
o Somewhat disagree (2)
o Strongly disagree (1)
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Q1.2 Please select which breakout session you attended for Day 1.
o Coping with Medicare and COVID-19: The New Normal (1)
o Medicare Advantages Updates for 2021 and Beyond (2)
o Croissants, Coalitions, and Councils: A Conversation (3)
o Casework Done Right: From Scam Submission to SIRS Success (4)
o I did not attend a breakout session on Day 1 (5)
Skip To: Q1.4 If Please select which breakout session you attended for Day 1. = I did not attend a
breakout session on Day 1
Page Break
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Q1.3 For ${Q1.2/ChoiceGroup/SelectedChoices}, please rate your level of agreement with the
following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q1.4 For Office of Healthcare Information and Counseling (OHIC) Welcome & Performance
Overview, please rate your level of agreement with the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q1.5 For SMP Updates & Looking Ahead to 2021, please rate your level of agreement with
the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q1.6 Do you have any suggestions about Day 1 that you believe would help to improve it?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Q1.7 Was there anything in Day 1 that was particularly helpful to you or that you would like to
comment on?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Day 1
Start of Block: Day 2
Day 2 Please answer the following questions about the sessions from Day 2.
Page 10 of 26
Q2.1 Overall I was satisfied with the presentations and activities from Day 2.
o Strongly agree (5)
o Somewhat agree (4)
o Neither agree nor disagree (3)
o Somewhat disagree (2)
o Strongly disagree (1)
Page Break
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Q2.2 For CMS Updates, please rate your level of agreement with the following statements about
the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q2.3 For eMedicare Updates, please rate your level of agreement with the following
statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q2.4 Please select which breakout session you attended for Day 2
o Successful Grants Management and Monitoring (1)
o It's Time to Change: Ways to Use Technology to Educate Medicare Beneficiaries (2)
o
Keeping Your Program SHIP (and SMP/MIPPA)-Shape: Quality Assurance Practices
(3)
o Booz Allen Hamilton (BAH) Office Hours 1 (4)
o I did not attend a breakout session on Day 2 (5)
Skip To: Q2.6 If Please select which breakout session you attended for Day 2 = I did not attend a
breakout session on Day 2
Page Break
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Q2.5 For ${Q2.4/ChoiceGroup/SelectedChoices}, please rate your level of agreement with
the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q2.6 For Medicare Fraud: A Multiagency Perspective, please rate your level of agreement with
the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q2.7 For SMP/SHIP Regional Breakouts, please rate your level of agreement with the
following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q2.8 Do you have any suggestions about Day 2 that you believe would help to improve it?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Q2.9 Was there anything in Day 2 that was particularly helpful to you or that you would like to
comment on?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Day 2
Start of Block: Day 3
Day 3 Please answer the following questions about the sessions from Day 3.
Page 18 of 26
Q3.1 Overall I was satisfied with the presentations and activities from Day 3.
o Strongly agree (5)
o Somewhat agree (4)
o Neither agree nor disagree (3)
o Somewhat disagree (2)
o Strongly disagree (1)
Page Break
Page 19 of 26
Q3.2 For Understanding Integrated Health Options for Dual Eligible Beneficiaries, please rate
your level of agreement with the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q3.3 For Avoiding Conflicts of Interest, please rate your level of agreement with the following
statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
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Q3.4 Please select which breakout session you attended for Day 3
o
Supplemental Benefits in Medicare Advantage Plans from National and State
Perspectives (1)
o Growing Your ACL Partnership Network (2)
o Turning Lemons Into Lemonade: Reaching Hard to Reach Communities (3)
o Booz Allen Hamilton (BAH) Office Hours 2 (4)
o I did not attend a breakout session on Day 3 (5)
Skip To: Q3.6 If Please select which breakout session you attended for Day 3 = I did not attend a
breakout session on Day 3
Page Break
Page 22 of 26
Q3.5 For ${Q3.4/ChoiceGroup/SelectedChoices}, please rate your level of agreement with
the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
Page 23 of 26
Q3.6 For SHIP Updates and Looking Ahead 2021, please rate your level of agreement with
the following statements about the session:
Strongly
agree (5)
Provided
useful
information I
can use in my
day-to-day
responsibilities
(1)
Was
presented at a
level
appropriate to
my experience
(2)
Speakers were
knowledgeable
and had good
presentation
skills (3)
Somewhat
agree (4)
Neither
agree nor
disagree
(3)
Somewhat
disagree
(2)
Strongly
disagree
(1)
Did not
attend
(99)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Page Break
Page 24 of 26
Q3.7 Do you have any suggestions about Day 3 that you believe would help to improve it?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Q3.8 Was there anything in Day 3 that was particularly helpful to you or that you would like to
comment on?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Day 3
Start of Block: Conclusion
Q7 What topics would you like to see covered at future conferences?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 25 of 26
Q8 What else would you like to tell us about the conference overall?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Conclusion
Page 26 of 26
| File Type | application/pdf |
| File Title | 2020 ACL Evaluation |
| Author | Qualtrics |
| File Modified | 2020-07-17 |
| File Created | 2020-07-15 |