Webinar Evaluation – CHES

Thank you for participating in our webinar. Please take a moment to complete this brief feedback survey. Your feedback is very important to us.

Optional CME and NYS Social Work CE credit is available through the University of Rochester and requires a one-time payment of $20.00. Payment will be processed via PayPal using either a credit card or PayPal account. An invoice for payment will be sent from PayPal. Instructions on how to access your CME/CE will be sent in a separate email to the email address your provide below.
Learn more about Accreditation for this webinar here: https://nysarh.org/webinars/

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Webinar Name*

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Webinar Date*

First Name*

Last Name*

Email*

Work Phone*

Birth Month and Day (MM/DD)*

I am a member of*

NYSARH
NERHA
Not a member, I want to learn more
N/A

Practice Specialty*

Primary Degree*

Company*

ZIP Code*

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Please rate the impact of the following course objectives.

As a result of attending this activity, I am better able to:

	Strongly agree	Agree	Disagree	Strongly disagree
Describe both adverse and positive childhood experiences
Explore whether ACE and positive childhood experiences (PCE) exposure differs between rural and urban children
Discuss racial/ethnic disparities in ACE and PCE exposure across rural communities

Please rate the projected impact of this activity on your knowledge, competence, performance, and patient outcomes.*

* Competence is defined as the ability to apply knowledge, skills, and judgment in practice (knowing how to do something)

If you answered 'yes' to any of the items described above, please describe:

Please rank your agreement with the following statements.*

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The session delivered the information I expected to receive.
The subject matter was presented effectively.
The pace of the webinar was satisfactory.
The duration of the webinar was sufficient for the material covered.
The speaker(s) were knowledgeable.
I plan to apply what I learned in this webinar.
As a result of this webinar, I gained new knowledge applicable to my work.

Do you feel this activity was free of commercial bias or influence?*

*Commercial bias is defined as a personal judgment in favor of a specific product or service of a commercial interest.

Yes
No

Please explain:*

Do you feel this activity was evidence-based?*

Yes
No

Please explain:*

I would recommend others watch the recorded version of this webinar.*

Yes
No

I would recommend NYSARH/NERHA webinars to a colleague or friend.*

Yes
No

I am interested in attending future webinars offered by NYSARH/NERHA.*

Yes
No

Why did you decide to join this webinar?*

What did you like MOST about this webinar?*

What did you like LEAST about this webinar?*

Please suggest a future speaker, topic, or a way we could improve our webinars.*

How did you hear about this webinar?*

Would you like to receive CHES credit for your participation in this webinar? ($10)*

Yes
No

CHES credit is awarded through the NCHEC and requires a one-time payment of $10.00

CHES/MCHES ID*

Total

$0.00

CAPTCHA

	Yes	No	No Change
This activity increased my knowledge.
This activity increased my competence.
This activity improved/will improve my performance.
This activity will improve my patient outcomes.