Participant Information
All fields in this section are required.
1. Location
New York State
Vermont
Other State
2. What is your highest
academic degree?
High School
Associates Degree
Bachelors Degree
Masters
Doctorate
3. Which of the following best describes your current
work role?
Front Line Staff
Senior Staff Level
Supervisory and Management Staff
Front Line Staff (carry out day-to-day tasks
including clinical, fieldwork, and outreach)
Senior Staff Level (technical
and specialized functions, may supervise individual units)
Supervisory
and Management Staff (responsible for major programs, planning,
provide policy recommendations)
4. Primary Occupation
Administrative/ Managerial
Clinical: Nursing
Clinical: Physician, Nurse Practitioner, Physician's
Assistant
Clerical/ Support Staff
Communications/ Media Relations
Dentist
Epidemiology/ Biostatistics
Environmental Health
Emergency Services
First Responder
Law Enforcement
Legal Counsel or Staff
Pharmacist
Public Health Educator
Student
Veterinarian
Other
5. Primary Work Setting
Business/Industry
College/University
Hospital
Local Health Dept.
Long-term Care Facility
Private Medical Practice
State Health Dept.
Other State Agency
Other Health Care Facility
Other
6. Years in Current Occupation
Evaluation
All fields in this section are required.
7. The program moderator was helpful
in framing
questions and focusing discussion.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
8. Lawrence Gostin, the guest speaker,
was effective in communicating
concepts.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
9. The objectives, as outlined
in the program announcement, were
met.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
10. Overall, the program met
my expectations.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
11. I would recommend this program
to others.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
12. As a result of this broadcast,
I am able to describe changes in the late 20th and early 21st centuries
that have made us examine legal issues in public health.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
13. As a result of this broadcast,
I am able to support public health law training programs and help plan
new offerings to effectively deliver legal training to public health
audiences.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
14. As a result of this broadcast,
I am able to support public health issues and analysis in targeted
areas relevant to public health law.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
Comments
All fields in this section are optional. Type
your responses in the boxes provided.
15. What was the most useful or
important thing you learned during this program?
16. What suggestions do you have
for improving the program?
17. Other topics of interest you would like to
learn more about in future Center for Public Health Preparedness educational
activities.
Continuing Education Credits
If you would like to receive
continuing education credits, you must click one of the boxes below and
enter your name and complete mailing address in the space provided.
Please enroll me for 1.0 Category I CHES in health education.
My CECH
number is
This activity is sponsored by the School of Public Health, University
at Albany, SUNY, a designated provider of continuing education contact
hours (CECH) in health education by the National Commission for Health
Education Credentialing, Inc. This program is designated for the CHES
to receive 1.0 Category I CECH in health education.
Please enroll me for 1 contact hour in nursing continuing education.
This educational activity is presented by the School of Public Health
Continuing Education, which has been approved as a provider of continuing
education by the New York State Nurses Association’s Council
on Continuing Education, which is accredited by the American Nurses'
Credentialing Center's Commission on Accreditation. It has been assigned
approval code 54NLRE-PRV-02-065.
Please enroll me for 1 hour in Category One Continuing Medical
Education credit towards the AMA/PRA Physician’s Recognition
Award.
The School of Public Health, University at Albany, SUNY, is accredited
by the Medical Society of the State of New York to sponsor continuing
medical education for physicians. The School designates this program
for 1 hour in Category One credit towards the AMA/PRA Physician’s
Recognition Award. Each physician should claim only those hours of
credit he/she actually spent in the educational activity.
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