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Tribal Maternal and Child Health (MCH) ECHO 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. What is your primary title: *This question is required.

4. What IHS area are you from?

5. Overall, how satisfied are you with today's Tribal MCH ECHO clinic? *This question is required.

6.  As a result of today's Tribal MCH ECHO clinic, how has your knowledge on this topic changed? *This question is required.

7. How likely are you to recommend the Tribal MCH ECHO to a colleague? *This question is required.

	0	1	2	3	4	5	6	7	8	9	10
Not at all likely	0	1	2	3	4	5	6	7	8	9	10	Extremely likely

8. Thinking about today's ECHO session and presenter(s), how would you rate the statements below?

Space Cell	Strongly disagree	Disagree	Agree	Strongly agree	N/A - did not have the didactic this clinic
Met the stated objectives	Met the stated objectives: Strongly disagree	Met the stated objectives: Disagree	Met the stated objectives: Agree	Met the stated objectives: Strongly agree	Met the stated objectives: N/A - did not have the didactic this clinic
Delivered balanced evidence-based content	Delivered balanced evidence-based content: Strongly disagree	Delivered balanced evidence-based content: Disagree	Delivered balanced evidence-based content: Agree	Delivered balanced evidence-based content: Strongly agree	Delivered balanced evidence-based content: N/A - did not have the didactic this clinic
Was relevant to my work	Was relevant to my work: Strongly disagree	Was relevant to my work: Disagree	Was relevant to my work: Agree	Was relevant to my work: Strongly agree	Was relevant to my work: N/A - did not have the didactic this clinic

9. Did you feel the presentation or panel conveyed any commercial bias?

10. Will anything you learned in the presentation or panel today change the way you care for your own patients? *This question is required.

What changes will you make as a result of what you learned in the presentation or panel? *This question is required.

11. What barriers do you think you might have in applying what you learned today? *This question is required.