Part V – Post-Assessment Questionnaire

Please take a few minutes to reflect on what you’ve learned, and how you plan to apply your new knowledge.

Please indicate your level of agreement with FM Pivot Module Evaluation Questions

	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly diagree
The learning objectives for this module were clear.	The learning objectives for this module were clear. : 1	The learning objectives for this module were clear. : 2	The learning objectives for this module were clear. : 3	The learning objectives for this module were clear. : 4	The learning objectives for this module were clear. : 5
The learning objectives were met.	The learning objectives were met. : 1	The learning objectives were met. : 2	The learning objectives were met. : 3	The learning objectives were met. : 4	The learning objectives were met. : 5
I was easily able to register for and access this module.	I was easily able to register for and access this module. : 1	I was easily able to register for and access this module. : 2	I was easily able to register for and access this module. : 3	I was easily able to register for and access this module. : 4	I was easily able to register for and access this module. : 5
The module contents were easy to navigate.	The module contents were easy to navigate. : 1	The module contents were easy to navigate. : 2	The module contents were easy to navigate. : 3	The module contents were easy to navigate. : 4	The module contents were easy to navigate. : 5
The content was relevant to my clinical practice/teaching.	The content was relevant to my clinical practice/teaching. : 1	The content was relevant to my clinical practice/teaching. : 2	The content was relevant to my clinical practice/teaching. : 3	The content was relevant to my clinical practice/teaching. : 4	The content was relevant to my clinical practice/teaching. : 5
I feel confident in my ability to apply the content in my practice/teaching.	I feel confident in my ability to apply the content in my practice/teaching. : 1	I feel confident in my ability to apply the content in my practice/teaching. : 2	I feel confident in my ability to apply the content in my practice/teaching. : 3	I feel confident in my ability to apply the content in my practice/teaching. : 4	I feel confident in my ability to apply the content in my practice/teaching. : 5
The resource materials were useful.	The resource materials were useful. : 1	The resource materials were useful. : 2	The resource materials were useful. : 3	The resource materials were useful. : 4	The resource materials were useful. : 5
The content was balanced and unbiased.	The content was balanced and unbiased. : 1	The content was balanced and unbiased. : 2	The content was balanced and unbiased. : 3	The content was balanced and unbiased. : 4	The content was balanced and unbiased. : 5
I will be able to apply what I’ve learned to improve health outcomes in my community.	I will be able to apply what I’ve learned to improve health outcomes in my community. : 1	I will be able to apply what I’ve learned to improve health outcomes in my community. : 2	I will be able to apply what I’ve learned to improve health outcomes in my community. : 3	I will be able to apply what I’ve learned to improve health outcomes in my community. : 4	I will be able to apply what I’ve learned to improve health outcomes in my community. : 5
I would recommend this module to a colleague,	I would recommend this module to a colleague, : 1	I would recommend this module to a colleague, : 2	I would recommend this module to a colleague, : 3	I would recommend this module to a colleague, : 4	I would recommend this module to a colleague, : 5

Please identify which components of the module were most useful to your clinical practice/teaching.

Which were least useful?

Did you perceive a degree of commercial bias in any part of the module?

Yes

Do you have any suggestions for future module topics?

We are hoping to conduct a followup evaluation on FM Pivot later in the year. May we contact you for a brief followup questionnaire or interview at this time? If so, please include your email address here:

Any final suggestions/comments?