Form #1 Form #1 LN Meeting Evaluation

A HRQ Complex Patient Research

Learning Network Meeting Evaluation

Form Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX

Optional: Name: _________________________________________________________

Overall Learning Network Meeting Questions

1. Overall, how satisfied are you with this learning network meeting (i.e., with the topics covered, the number and types of sessions, etc.)?

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

2. What would have made this learning network meeting better/ more useful?

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		Yes	No
3.	Did this learning network meeting help facilitate networking among the complex patient investigators?		

Public reporting burden for this collection of information is estimated to average 20 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.

4. What topics would you like to see covered in future meetings and webinars?

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Individual session questions

Instructions: Please answer the following questions for each learning network session you attended.

Session Title:

Session Leader:

1. This session…

___ did not meet my expectations

___ met my expectations

___ exceeded my expectations

2. The leader(s) of this session had the knowledge and expertise to deliver the information in an effective manner.

1	2	3	4	5	6	7	8	9	10
Completely Disagree					Completely Agree

3. I gained information and knowledge through my participation in this session that will be helpful in my research.

1	2	3	4	5	6	7	8	9	10
Completely Disagree					Completely Agree

4. I am likely to make changes to my research (study design/ protocol/ implementation/ analysis/ results interpretation) because of information or knowledge I gained from this session

1	2	3	4	5	6	7	8	9	10
Completely Disagree					Completely Agree

5. Please tell us how this session could have been better/more useful:

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6. Other comments:

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