Healthcare Policy Education Evaluation Form
Please provide your feedback on the healthcare policy education session.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Date of Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate the clarity of the policy information presented?
*
1
2
3
4
5
How relevant was the healthcare policy information to your work or personal life?
*
1
2
3
4
5
What aspects of the education session did you find most useful?
*
What improvements would you suggest for future sessions?
*
Submit
Should be Empty: