Overall Conference Evaluation Form

Please mark all of the following entities that you represent:
Advocacy Group
Audiologist
Early Intervention Provider
Family of a child with hearing loss
Federal Agency
Hospital/Birthing Center
Local Health Dept
Medical Provider 		Non-Profit Agency
Part C Agency/Provider
State Education Agency
State Health Department
Student
University
Other
If Other, (please specify):
Conference Goal: The goal of this conference is to enhance the implementation of comprehensive state-based Early Hearing Detection and Intervention (EHDI) programs
Please select the number that best represents your opinion regarding the entire conference.
  Strongly Disagree       Strongly Agree
1. I am confident that I can promote knowledge/awareness of successful EHDI implementation strategies. 1 2 3 4 5
2. I am confident that I can share current research and research methods related to EHDI. 1 2 3 4 5
3. I am confident that I can improve cultural competence in working with children/families/communities. 1 2 3 4 5
4. I am confident that I can enhance and develop new working relationships with various groups/agencies. 1 2 3 4 5
5. The conference content was relevant to my work or participation in the EHDI system. 1 2 3 4 5
6. The conference was effective in addressing current EHDI issues. 1 2 3 4 5
7. The information presented in Plenary Session I, Ten Years of EHDI, was useful. 1 2 3 4 5
8. The information presented in Plenary Session II, It's All About Expectations, was useful. 1 2 3 4 5
9. The information presented in Plenary Session III, The Medical Home and EHDI, was useful. 1 2 3 4 5
10. The information presented in Plenary Session IV, EHDI and Family Support, was useful. 1 2 3 4 5
11. The State Stakeholder's Meeting time was useful for networking with others in my state/region. 1 2 3 4 5
12. The Communiversity activities provided valuable information. 1 2 3 4 5
13. The length of the conference was adequate for learning. 1 2 3 4 5
14. The length of time available for networking with others was adequate. 1 2 3 4 5
15. The process for obtaining Continuing Education Units (CEUs) was easy to understand. 1 2 3 4 5
16. The pre-registration process was well organized. 1 2 3 4 5
17. The on-site registration process was well organized. 1 2 3 4 5
18. Conference staff effectively answered questions and assisted participants. 1 2 3 4 5
19. The hotel meeting facilities were appropriate for the conference. 1 2 3 4 5
20. The conference provided adequate audio-visual equipment and technical support. 1 2 3 4 5
21. What specific topics would you like included on the conference program in the future?
22. Additional comments/suggestions/observations:
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