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2014
February
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non-clinical standard template
non-clinical standard template
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Dear THR Employee,
Thank you for your recent participation in a Texas Health Resource University Learning Event -Networking. We’d like you to take a moment to reflect on your experience and to provide us with feedback on the course and its effect on your learning. The survey should take approximately 5-7 minutes and your input will remain confidential. All responses are used to tailor future activities to your needs. We appreciate your trust and look forward to serving you in the future.
Thank you in advance for your valuable insights.
Please click on this link to complete the survey:
Please take a moment to reflect upon the workshop you attended. Please assess the following statements below.
Strongly Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Strongly Agree
*
I knew what the course objectives were.
*
I intend to apply the course content.
*
The facilitator's style was relevant to my learning needs.
*
The delivery methods were effective for my needs
*
I was excited to participate in the workshop.
*
I would recommend this class to others.
*
There is applicability of the course content to my current role.
*
The course met my learning needs.
Please list one area of opportunity for improvement for the workshop.
Strongly Disagree
Disagree
Slightly Disagree
Slightly Agree
Agree
Strongly Agree
The workshop content is critical to my job success.
I intend to apply the workshop content in my current or in a future role.
I intend to share what I have learned with my direct manager.
My direct manager is holding me accountable for material learned in this workshop.
Please think about your knowledge before and after attending ____________. Complete the question below by ranking your knowledge/ability to do the following items before (left hand column) and after (right hand column) the workshop.
Ability/Knowledge Before the Session
Ability/Knowledge After the Session
Limited
Advanced
Limited
Advanced
1
2
3
4
1
2
3
4
1
2
3
4
*
What are potential barriers that would inhibit you from successful implementation of the content presented? (Please check all that apply)
Lack of support from management
Culture within my organization will not support application of knowledge/skills
Lack of time to apply knowledge/skills
Did not learn anything that could be implemented
Lack of resources to implement
No opportunity to use the skills
Lack of support from colleagues or peers
Insufficient knowledge and understanding
Lack of confidence to apply knowledge/skills
No barriers identified
Other
*
What are potential enablers identified that could lead to your success for implementation of the content presented?
List ONE STEP you will take or ONE THING you will do in the next 30 days to apply what you learned in this event
Additional Comments (e.g., What did you specifically like or dislike about the workshop? How could we improve on the delivery or learning of this workshop content?):
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