AcademyHealth Certificate of Attendance - 2018 Health Datapalooza
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Non-Physician
Physician
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How many credit hours did you complete?
Credit Hours (maximum: 14.25)
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
I agree
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Was the educational content of value to you?
Very Valuable
Average
Not Valuable
If no, tell us how.
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Was the educational content scientifically sound?
Yes
No
If no, please explain.
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Did you perceive any commercial bias or influence in the educational content?
Yes
No
If yes, please explain...
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Did this activity improve your Skills or Strategy?
Yes
No
If yes, how...
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Tell us how well or poorly we met any of the educational objectives.
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Do you think what you learned will benefit you in your practice?
If yes, how...
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Tell us what was good or bad about any part of the educational activity, including the content, speakers, materials, etc.
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What questions are you having in your practice that you would like to see addressed in a future education activity?
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Please rate your overall satisfaction with the conference. (1=poor; 4=Exceptional)
1
2
3
4
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Please rate your overall satisfaction with each of the following:
Plenary Speakers:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
Concurrent Session Speakers:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
Length of Conference:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
Location:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
Conference Staff:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
Registration:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
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Did you book a hotel room at the Washington Hilton?
Yes
No
If you booked at another hotel, where? Why?
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Please rate the following:
Conference agenda was relevant to my needs/interests.
Strongly Agree
Agree
Disagree
Strongly Disagree
There was a concurrent session during every time slot that I was interested in attending.
Strongly Agree
Agree
Disagree
Strongly Disagree
Session format allowed me enough time to ask questions.
Strongly Agree
Agree
Disagree
Strongly Disagree
The physical accommodations (rooms, lighting, seating, temperature) were suitable.
Strongly Agree
Agree
Disagree
Strongly Disagree
The conference compared favorably with others I've attended.
Strongly Agree
Agree
Disagree
Strongly Disagree
I would recommend this conference to a friend or colleague.Â
Strongly Agree
Agree
Disagree
Strongly Disagree
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How did you hear about Health Datapalooza?
I received an email from AcademyHealth.
Yes
No
I received an email from another organization.
Yes
No
I received a postcard in the mail.
Yes
No
I saw a tweet or social media post.
Yes
No
I saw an online advertisement or information using a search engine.
Yes
No
I found information on AcademyHealth.org.
Yes
No
I was informed by a friend/colleague.
Yes
No
Other: Please Specify
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We'd love to hear what you have to say. Please provide a brief (1 - 2 sentence) testimonial about your experience at Health Datapalooza. By offering the testimonial, you agree to let AcademyHealth use it (as is) without attribution in any future marketing communication around this conference.
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Plenary Sessions:
1. Please rate your overall satisfaction with the plenary sessions.
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
2. How effective were the speakers in these sessions?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
3. Did these sessions meet your expectations?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
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Concurrent Sessions:
1. Please rate your overall satisfaction with the Concurrent sessions.
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
2. How effective were the speakers in these sessions?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
3. Did these sessions meet your expectations?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
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Pre-Conference Sessions:
1. Did you attend a pre-conference session.
Yes
No
2. If so, which one.
3. Please rate your overall satisfaction with the session.
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
4. How effective were the speakers in this session?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
5. Did the session meet your expectations?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
N/A
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