VIHC - Update on Hospice Regulatory Changes and Review of the Four Levels of Care - Dec 2014 - Follow-Up Survey
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
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This activity gave me strategies I could use in my practice or professional activities (professional competence).
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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I was able to use the strategies from this activity to improve my professional performance.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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My patient/client outcomes improved due to the implementation of the strategies I acquired from this activity.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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I was able to transfer information from this activity into my practice or professional activities.
Yes
No
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An example of information I was able to transfer from this activity is:
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I was unable to transfer information from this activity due to the following barriers:
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My professional
competence
(
available
strategies) would be improved if I had training on:
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My professional
performance
(
implementation
of strategies) would be improved if I had training on:
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My patient/client
outcomes
(the
result
of implemented strategies) would be improved if I had training on:
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I get more out of the following types of learning (check all that apply):
Lecture
Case Presentations
Workshops
Panel Discussions
Questions & Answers
Vignettes / Role Play
Video or Audio Presentations
Hands-On Lab
Formal Discussion Groups
Self-Assessment Inventory
Skills Sessions
Computer Programs
Mini-Residency / Fellowships
Teleconferencing
Journals
Monograms or Supplements
Abstract Presentations
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What is your profession?
Physician
Nurse
Pharmacists
Psychologist
Licenses Professional Counselor
Marriage & Family Therapist
Chemical Dependency Counselor
Transplant Coordinator
Case Manager
Other
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If you answered "Other" as your profession, please specify:
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Provide your comments and suggestions to further improve your competence, performance and/or your patient/client outcomes in future activities:
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