Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement. * Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 54321 The information and/or skills learned will enhance my professional competence or ability. The information and/or skills learned will enhance my professional competence or ability. - 5 The information and/or skills learned will enhance my professional competence or ability. - 4 The information and/or skills learned will enhance my professional competence or ability. - 3 The information and/or skills learned will enhance my professional competence or ability. - 2 The information and/or skills learned will enhance my professional competence or ability. - 1 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 5 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 4 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 3 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 2 This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 1 As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives * Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree NA=Not applicable to my practice 54321NA Outline the proxy appointment process in accordance with Florida State law. Outline the proxy appointment process in accordance with Florida State law. - 5 Outline the proxy appointment process in accordance with Florida State law. - 4 Outline the proxy appointment process in accordance with Florida State law. - 3 Outline the proxy appointment process in accordance with Florida State law. - 2 Outline the proxy appointment process in accordance with Florida State law. - 1 Outline the proxy appointment process in accordance with Florida State law. - NA Describe the power of the appointed Proxy. Describe the power of the appointed Proxy. - 5 Describe the power of the appointed Proxy. - 4 Describe the power of the appointed Proxy. - 3 Describe the power of the appointed Proxy. - 2 Describe the power of the appointed Proxy. - 1 Describe the power of the appointed Proxy. - NA Recognize the clinical and legal implications of appointing the wrong Proxy. Recognize the clinical and legal implications of appointing the wrong Proxy. - 5 Recognize the clinical and legal implications of appointing the wrong Proxy. - 4 Recognize the clinical and legal implications of appointing the wrong Proxy. - 3 Recognize the clinical and legal implications of appointing the wrong Proxy. - 2 Recognize the clinical and legal implications of appointing the wrong Proxy. - 1 Recognize the clinical and legal implications of appointing the wrong Proxy. - NA Rate the following * Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor 54321 Course content. Course content. - 5 Course content. - 4 Course content. - 3 Course content. - 2 Course content. - 1 Jennifer Company-Rivero, LCSW, MHSA Jennifer Company-Rivero, LCSW, MHSA - 5 Jennifer Company-Rivero, LCSW, MHSA - 4 Jennifer Company-Rivero, LCSW, MHSA - 3 Jennifer Company-Rivero, LCSW, MHSA - 2 Jennifer Company-Rivero, LCSW, MHSA - 1 Was this course fair, balanced and without commercial bias? * Yes No If you checked "No,” please explain why: * How many patients will you see in your practice who will likely be impacted by what you learned at this activity? * 1-5 6-10 Over 10 Not applicable to my practice Please list specific changes you intend to implement in your daily practice as a result of attending this activity. * If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. * List topics related to this lecture that you want to learn more about? Comments Please select one: * M.D., D.O. Ph.D. Psy.D. DPM PA-C ARNP R.N. Pharmacist Respiratory Therapist SW/MFT/MHC Other... Please select one: Other... Name Leave this field blank
