CONTINUING EDUCATION ACTIVITY EVALUATION FORM
Activity Title: __________________________________________________________
Date: _____________________________________
As a learner please assist in the evaluation of this presentation. Please circle the number beside each statement that best reflects the extent of your
agreement. Thank you.
Content
Disagree
Agree
1.
2.
3.
4.
5.
The content was interesting to me.............................................
The content extended my knowledge of the topic.....................
The content was consistent with the objectives.........................
The content was related to my job.............................................
Objectives were consistent with purpose/goals of activity........
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5
The online environment was conducive to learning...................
The learning environment stimulated idea exchange................
The online environment was appropriate for the activity..........
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5
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Setting
1.
2.
3.
Faculty/Presenter Effectiveness:
1.
2.
3.
4.
The presentation was clear and to the point..............................
The presenter demonstrated mastery of the topic......................
The method used to present the material held my attention......
The presenter was responsive to participant concerns...............
Instructional Methods
1.
2.
3.
4.
The instructional material was well organized..........................
The instructional methods illustrated the concepts well............
The handout materials were appropriate for the activity ..........
The teaching strategies were appropriate for the activity..........
Learner Achievement of Objectives
At the conclusion of the presentation, relative to the observed MBS, I am able to:
1.
state medical history suggestive of dysphagia ......................
2.
identify areas of deficit..........................................................
3.
state treatment techniques relative to the observed deficits…
4.
identify appropriate diet recommendations.............................
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5
5.
identify appropriate medical referrals.....................................
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Comments & Suggestions for Future Topics: __________________________________________________________
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