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Diabetes ECHO Learner Evaluation

Cardea Services

Questions about this evaluation? Email info@cardeaservices.org.

We hope you found this educational offering both interesting and informative. Your anonymous responses will be used to plan future educational activities.

1. Please enter your unique identifying number using your birth month (mm), last two numbers of your cell phone number, and the first letter of your middle name. If you do not have a middle name, please use the first initial of your last name. This number will be used to compare pre and post survey responses while keeping your responses anonymous.

Example: 0389S
Birth Month: March (03)
Phone Number: 012-345-6789
Middle Name: Smith

3. How satisfied are you with this learning activity?

Very satisfied	Satisfied	Unsatisfied	Very unsatisfied
Very satisfied	Satisfied	Unsatisfied	Very unsatisfied

4.  As a result of this learning activity, how has your knowledge on this topic changed? *This question is required.

Improved a lot	Improved a little	Stayed the same	Got worse
Improved a lot	Improved a little	Stayed the same	Got worse

5. As a result of this learning activity, *This question is required.

Space Cell	Very likely	Likely	Unlikely	Very unlikely
I intend to incorporate knowledge learned into my care of patients who have Periodontal Disease and Diabetes.	I intend to incorporate knowledge learned into my care of patients who have Periodontal Disease and Diabetes.: Very likely	I intend to incorporate knowledge learned into my care of patients who have Periodontal Disease and Diabetes.: Likely	I intend to incorporate knowledge learned into my care of patients who have Periodontal Disease and Diabetes.: Unlikely	I intend to incorporate knowledge learned into my care of patients who have Periodontal Disease and Diabetes.: Very unlikely
I am able to discuss the pathophysiology and complications of diabetes.	I am able to discuss the pathophysiology and complications of diabetes.: Very likely	I am able to discuss the pathophysiology and complications of diabetes.: Likely	I am able to discuss the pathophysiology and complications of diabetes.: Unlikely	I am able to discuss the pathophysiology and complications of diabetes.: Very unlikely
I am able to identify culturally appropriate communication and patient education for AI/AN patients with diabetes.	I am able to identify culturally appropriate communication and patient education for AI/AN patients with diabetes.: Very likely	I am able to identify culturally appropriate communication and patient education for AI/AN patients with diabetes.: Likely	I am able to identify culturally appropriate communication and patient education for AI/AN patients with diabetes.: Unlikely	I am able to identify culturally appropriate communication and patient education for AI/AN patients with diabetes.: Very unlikely

6. I plan to make one change in practice based on what I learned in this activity. *This question is required.

Very likely	Likely	Unlikely	Very unlikely
Very likely	Likely	Unlikely	Very unlikely

Please describe any changes you plan to make in the work that you do. *This question is required.

Why are you unlikely to make a change? *This question is required.

Please enter an 'other' value for this selection.