Health Network: A Care Coordination Program for Mobile Patients - Evaluation

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1 - Unable 2 - Somewhat able 3 - Mostly able 4 - Completely able

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1 - Unable 2 - Somewhat able 3 - Mostly able 4 - Completely able

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1 - Unable 2 - Somewhat able 3 - Mostly able 4 - Completely able

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1 - Poor 2 - Average 3 - Good 4 - Excellent

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1 - The teaching methods were ineffective 2 - The teaching methods were somewhat effective 3 - The teaching methods were mostly effective 4 - The teaching methods were completely effective

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1 - The objectives were irrelevant 2 - The objectives were somewhat relevant 3 - The objectives were mostly relevant 4 - The objectives were completely relevant

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1 - The facilities were inappropriate 2 - The facilities were somewhat appropriate 3 - The facilities were mostly appropriate 4 - The facilities were completely appropriate

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If you did not rate the above question a "1" please reply N/A in the box below.

1 - Immediately 2 - Within the next 3 months 3 - In 4 to 6 months 4 - In more than 6 months 5 - Unsure

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If none, please reply "N/A"

1 - Yes, absolutely! 2 - No, I don't think so. 3 - I'm not sure

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All participants who complete the evaluation will receive a certificate of attendance. You can opt-out of receiving a certificate by answering the appropriate question below.

1 - Yes, please. 2 - No thank you.

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