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Dementia Clinical ECHO Evaluation 2025

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.

Note: If you want a certificate of completion or continuing education credit, you must complete this evaluation.

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. This number will be used to compare survey responses while keeping your responses anonymous.

Example: 0989S
Birth Month: September
Phone Number: 012-345-6789
Middle Name: Smith *This question is required.

3. Did you participate in a Clinical Dementia ECHO session in the last 2-3 months? *This question is required.

Did you apply at least one approach or change in your practice as a result of the previous ECHO session? *This question is required.

4. Are you affiliated with IHS/Tribal/Urban or other workplace? *This question is required.

What is the name of your workplace?

5. What state do you currently work in? *This question is required.

6. Please list the number of tribes served by the facility you work in. *This question is required.

7. How satisfied are you with this learning activity?

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

8. Do you currently provide clinical care to patients? *This question is required.

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

Space Cell	Strongly agree	Agree	Disagree	Strongly disagree
my knowledge about how to perform a clinical capacity assessment has increased.	my knowledge about how to perform a clinical capacity assessment has increased.: Strongly agree	my knowledge about how to perform a clinical capacity assessment has increased.: Agree	my knowledge about how to perform a clinical capacity assessment has increased.: Disagree	my knowledge about how to perform a clinical capacity assessment has increased.: Strongly disagree

10. How will you apply your new knowledge? *This question is required.

Why didn't your knowledge change? *This question is required.

Please enter an 'other' value for this selection.

Provide an example of a practice change that would benefit your patients. *This question is required.