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Palliative Care Philosophies & Provincial Program Orientation Evaluation

On what date did you participate in the session?

In which type of session did you participate?

Live

Recorded

Which of the following best describes your role?

Physician/ Nurse Practitioner

Clinical Educator

Administrative Assistant/ Medical Secretary

Supervisor, Manager, Director

LPN

RCW/ HSW

Allied Health (OT, PT, RT, RD, etc.)

Social Worker

Hospice Volunteer

Faculty

Student

Other

Which of the following best describes your site/ area of work:

Palliative Care Unit or Centre

Acute Care

Community Care

Long Term Care

Home Care

Primary Care

Ambulatory Care

Mental Health & Addictions

Public Health

Paramedicine

Post-Secondary Education

Hospice/ other non-government organization

Other

Did you feel the session helped you better understand palliative care?

Yes

Would you recommend the session to a colleague?

Yes

How helpful were the following sections:

	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful
Palliative Care and Palliative Approach to Care	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

Provincial Integrated Palliative Care Program (P-IPCP)	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

Assessment Tools	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

Advance Care Planning (ACP)	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

Other Program and Services	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

Resources	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

Client Story	Not at all helpful	Slightly helpful	Moderately helpful	Very helpful	Extremely helpful

What other aspects of the session were helpful to you?

What aspect of the session was least helpful to you?

What other topics would you like addressed in the session (or in a follow up session)?

Please rate your overview of the information provided (0 = poor & 10 = excellent)

Please offer any additional feedback on how to make this orientation more efficient and user-friendly.