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Integrative Health Module - Evaluation Form
Evaluation Form
walworth
2017-01-03T05:50:15-06:00
If you are human, leave this field blank.
Please help us make this module as useful as possible for clinicians. This survey is for research purposes. Although voluntary, we would appreciate a couple minutes of your time for feedback. Your responses are anonymous. Aggregate survey results may be shared in presentations or publications.
Please select the module
Attention Deficit Hyperactivity Disorder (Children)
Autism Spectrum Disorders (ASD)
Breast Cancer
Cholesterol
Depression
Environmental Intolerances: Multiple Chemical Sensitivity
GERD
Grief
Headache
Hypertension
Hypothyroidism
Irritable Bowel Syndrome
Low Back Pain
Meditation
Osteoarthritis
Osteoporosis
Weight Management
1. Which of the following did you read/hear? (Mark all that apply)
Overview
Pearls for Clinicians (information sheet with citations)
Podcast
Patient handout
2. Was any information unclear to you?
Yes
No
If you selected "Yes," please explain what was unclear
3. To what extent did this module contain information that was new to you?
Review of material I already knew
Some new information
Mostly new information
All new information
4. How likely are you to use this information in your clinical practice for some of your patients?
Very unlikely
Somewhat unlikely
Uncertain
Somewhat likely
Very likely
5. Overall, how helpful was this module for you?
Not helpful at all
Somewhat helpful
Helpful
Very helpful
6. What was most helpful?
7. Suggestions to increase the usefulness of this module
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