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Immunize Canada Evaluation Survey: Adult Immunization during the SARS-CoV2 Pandemic
Please take a few moments to evaluate this learning activity.
Please select the response that best describes your situation.
Specialization /Primary Role
Public health nurse
Family physician
Nurse practitioner
Pharmacist
Other, please specify:
Affiliation
Public Health Unit
Family Health Team
Hospital or Health Care
Long Term Care Facility
Government
NGO
Pharmacy
Other, please specify:
Evaluation Section 1
Please rate the scientific presentation.
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Achieved the learning objectives
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Scientific content of the presentation
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Usefulness of the presentation
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Effectiveness of the speaker
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Objectivity and balance
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Do you feel confident implementing your learnings in your clinical practice?
Poor/Strongly Disagree
Fair/Disagree
Satisfactory/Neutral
Good/Agree
Excellent/Strongly Agree
Evaluation Section 2
Please reflect on what you have learned from this learning activity.
How do you plan to incorporate what you have learned in your practice?
Do you intend to share what you have learned with your colleagues? Please explain how and which key elements from the learning activity you plan to share.
Evaluation Section 3
Please provide us with your overall level of satisfaction with this learning activity.
1. The learning activity met my expectation
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
2. I found the information delivered to be valuable
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
3. I gained knowledge that was new to me
Strongly agree
Agree
Neutral
Disagree
Strongly disagree