Evaluation


All who use the training modules provided by the HCGNE are asked to participate in an evaluation that permits us to improve and expand on our current best practice efforts.

Please complete the following evaluation form for each module independently.
(* indicates required fields)

 Name: *
 E-mail Address: *
 Location of Agency: *
 Name of Program Module Used: *
 Number of People Trained: *

 Agency or Audience with which the training program will be used*:

Nursing home General hospital Psychiatric hospital
Senior Center Assisted Living Facility Government Agency Group
Academic Institution Residential Care Center Support Services/Aging persons
Health Professionals Support Groups/Family  
Other - Please specify  

 Please rate the following aspects of the training module in relationship to clinical practice.

 (1=Poor, 6= Excellent)
 
1
2
3
4
5
6
1. Relevance of the topic
2. Usefulness of program content
3. Program organization
4. Overall quality of the program
5. Overall presentation quality
6. Supportive Materials
7. Lecturer's Script
8. PowerPoint program

 Additional Comments or Suggestions: