Evaluation Form: Addressing Cultural Dimensions of Pain Management

 

Learning Objectives

At the conclusion of this webinar, participants will be able to... 1. Explore differences in responses to pain among individuals based on culture, gender, age and other characteristics. 2. Discuss cultural attitudes toward pain medication. 3. Address ways in which clinics and providers can approach pain management in a culturally appropriate manner.
 
1 - The learning objectives were not met 2 - The learning objectives were somewhat met 3 - The learning objectives were mostly met 4 - The learning objectives
 
1 - None 2 - Slight 3 - Moderate 4 - Excellent
 
1 - Dissatisfied 2 - Somewhat satisfied 3 - Mostly satisfied 4 - Completely satisfied
 
1 - Disagree 2- Somewhat agree 3 - Mostly agree 4 - Completely agree
 
1 - Disagree 2- Somewhat agree 3 - Mostly agree 4 - Completely agree
 
N/A - Not applicable 1 - Not helpful 2 - Somewhat helpful 3 - Mostly helpful 4 - Completely helpful
 
If you have nothing to enter please type "N/A"
 
 
1 - Yes 2 - No
 
1 - Yes 2 - No
 
If you have nothing to enter please type "N/A"
 
 
If you have nothing to enter please type "N/A"
 
 
If you have nothing to enter please type "N/A"
 
 
If you have none enter "N/A"
 
 

CERTIFICATES FOR THIS TRAINING WILL BE SENT ELECTRONICALLY. IF YOU WISH TO RECEIVE A HARD-COPY OF YOUR CERTIFICATE, PLEASE BE SURE TO PROVIDE A MAILING ADDRESS IN THE APPROPRIATE FIELD(S) BELOW.
 
 
 
 
 
 
NOTE: TEXAS CHW CERTIFICATES WILL NOT BE MADE AVAILABLE FOR THIS TRAINING. 1 - Continuing Medical Education (CME) 2 - Continuing Nursing Education (CNE) 3 - Texas CHW Ceritifcate 4 - Certificate of Attendance
 
 
Please enter your phone number in one of the following formats: (123) 456-7890 or 123-456-7890
 
1 - Cell/Mobile 2 - Home 3 - Work/Office
 

THANK YOU FOR COMPLETING THE EVALUATION. YOUR ELECTRONIC CERTIFICATE WILL BE SENT OUT 1 - 2 WEEKS POST TRAINING DATE.