Fetal Health Surveillance Education EVALUATION Form | Reproductive Care Program of Nova Scotia

Session you are evaluating *

Fundamentals of FHS Workshop

FHS Refresher Workshop

FHS Instructor Workshop

Date *

Month

Day

Year

The date you attended this session

Please select the number 1 - 5 that reflects your response to the following statements. Or, if the statement does not apply, select N/A:

1 = Strongly Disagree - - - - - - - - - - - - - - - - - 5 = Strongly Agree

Responses *

	1	2	3	4	5	N/A
1. The objectives of the program were met.*	1. The objectives of the program were met.* - 1	1. The objectives of the program were met.* - 2	1. The objectives of the program were met.* - 3	1. The objectives of the program were met.* - 4	1. The objectives of the program were met.* - 5	1. The objectives of the program were met.* - N/A
2. Sufficient time was allotted to present the topic.	2. Sufficient time was allotted to present the topic. - 1	2. Sufficient time was allotted to present the topic. - 2	2. Sufficient time was allotted to present the topic. - 3	2. Sufficient time was allotted to present the topic. - 4	2. Sufficient time was allotted to present the topic. - 5	2. Sufficient time was allotted to present the topic. - N/A
3. Sufficient time was allotted for discussion and questions.	3. Sufficient time was allotted for discussion and questions. - 1	3. Sufficient time was allotted for discussion and questions. - 2	3. Sufficient time was allotted for discussion and questions. - 3	3. Sufficient time was allotted for discussion and questions. - 4	3. Sufficient time was allotted for discussion and questions. - 5	3. Sufficient time was allotted for discussion and questions. - N/A
4. Teaching aids (slides) were useful and effective	4. Teaching aids (slides) were useful and effective - 1	4. Teaching aids (slides) were useful and effective - 2	4. Teaching aids (slides) were useful and effective - 3	4. Teaching aids (slides) were useful and effective - 4	4. Teaching aids (slides) were useful and effective - 5	4. Teaching aids (slides) were useful and effective - N/A
5. The instructor(s) presented the subject effectively.	5. The instructor(s) presented the subject effectively. - 1	5. The instructor(s) presented the subject effectively. - 2	5. The instructor(s) presented the subject effectively. - 3	5. The instructor(s) presented the subject effectively. - 4	5. The instructor(s) presented the subject effectively. - 5	5. The instructor(s) presented the subject effectively. - N/A
6. The program content enhanced my knowledge of current FHS guidelines.	6. The program content enhanced my knowledge of current FHS guidelines. - 1	6. The program content enhanced my knowledge of current FHS guidelines. - 2	6. The program content enhanced my knowledge of current FHS guidelines. - 3	6. The program content enhanced my knowledge of current FHS guidelines. - 4	6. The program content enhanced my knowledge of current FHS guidelines. - 5	6. The program content enhanced my knowledge of current FHS guidelines. - N/A
7. What I learned today will improve my practice.	7. What I learned today will improve my practice. - 1	7. What I learned today will improve my practice. - 2	7. What I learned today will improve my practice. - 3	7. What I learned today will improve my practice. - 4	7. What I learned today will improve my practice. - 5	7. What I learned today will improve my practice. - N/A
8. The level of the subject matter was appropriate.	8. The level of the subject matter was appropriate. - 1	8. The level of the subject matter was appropriate. - 2	8. The level of the subject matter was appropriate. - 3	8. The level of the subject matter was appropriate. - 4	8. The level of the subject matter was appropriate. - 5	8. The level of the subject matter was appropriate. - N/A
9. I felt comfortable to participate in the discussion.	9. I felt comfortable to participate in the discussion. - 1	9. I felt comfortable to participate in the discussion. - 2	9. I felt comfortable to participate in the discussion. - 3	9. I felt comfortable to participate in the discussion. - 4	9. I felt comfortable to participate in the discussion. - 5	9. I felt comfortable to participate in the discussion. - N/A

* For specific session objectives please refer to your workshop materials or the corresponding workshop page on the RCP website.

Overall the session was: *

Too Basic

Just Right

Too Advanced

Did you perceive any degree of bias in any part of this program? *

Yes

No

If yes, please explain: *

What was the most helpful aspect of this session? *

How do you think the session could be improved? *

Profession: *

RN

MD

RM

Other

Other profession: *

FEEL FREE TO MAKE ANY ADDITIONAL COMMENTS OR SUGGESTIONS:

Additional comments