NASPGHAN - Nutrition University (N2U) - Course
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
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Please rate the following:
The program was relevant to my work.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Content matched stated objectives.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Usefulness of handouts/AV.
Excellent
Very Good
Good
Fair
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Quality of facilities.
Excellent
Very Good
Good
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How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
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Very Good
Good
Fair
Poor
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situation):
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Objective 1: Discuss the critical elements of pediatric nutrition
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 2: Implement appropriate nutritional assessment methods in pediatric patients
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 3: Optimize management of pediatric patients who have specialized nutrition needs/requirements
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Please answer the following questions regarding the speaker Valeria Cohran (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
Yes
No
Met objectives?
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Free from commercial bias?
Yes
No
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Please answer the following questions regarding the speaker Mark Corkins (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
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No
Met objectives?
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Free from commercial bias?
Yes
No
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Please answer the following questions regarding the speaker Glenn Furuta (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
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Met objectives?
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Free from commercial bias?
Yes
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Please answer the following questions regarding the speaker Praveen Goday (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
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Met objectives?
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Free from commercial bias?
Yes
No
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Please answer the following questions regarding the speaker Samuel Kocoshis (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
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Met objectives?
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Free from commercial bias?
Yes
No
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Please answer the following questions regarding the speaker Maria Mascarenhas (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
Yes
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Met objectives?
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Free from commercial bias?
Yes
No
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Please answer the following questions regarding the speaker Ann Scheimann (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
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Met objectives?
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Free from commercial bias?
Yes
No
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Please answer the following questions regarding the speaker Robert Shulman (1 being the best and 10 being the worst).
Quality of the content delivered.
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Invite speaker back?
Yes
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Met objectives?
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Free from commercial bias?
Yes
No
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Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
Yes
No
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If you answered ‘Yes' to the above question, please explain in detail (e.g. who, when, where):
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How much did you learn as a result of this educational program?
Great deal
Quite a bit
Some
Very little
Nothing
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What specifically did you learn during this activity that you intend to integrate into your practice?
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What questions have arisen in your practice for which you need answers/strategies that you can implement?
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What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
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What problems are your patients/clients communicating to you that need attention or follow-up?
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Are you interested in basic, intermediate or advanced level trainings?
Basic
Intermediate
Advanced
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What barriers might you have that would interfere with implementation of new information learned from this training?
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How could
this
training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?
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Additional comments:
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