Post Session Feedback Form

Post-session Feedback

Case Definitions: Concepts and Application for Clinical and Community Health Workers

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of case definitions and how to use them.	○	○	○	○	○
The case scenarios helped me understand how to identify the case classification of a disease (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share below.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share below.

Post-session Feedback

COVID-19: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify COVID-19 cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of COVID-19 (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Cholera: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Cholera cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Cholera (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Ebola: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Ebola cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Ebola (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Lassa Fever: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Lassa Fever cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Lassa Fever (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Marburg Virus Disease: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Marburg Virus Disease cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Marburg Virus Disease (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Mpox: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Mpox cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Mpox (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Polio: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Polio cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Polio (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Rift Valley Fever: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Rift Valley Fever cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Rift Valley Fever (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.

Post-session Feedback

Yellow Fever: Clinicians and Community Health Workers Using Case Definitions for Early Detection

Thank you for participating in the case definition presentation for clinicians and community health workers. Please fill out this brief questionnaire so we can improve the presentation. As you read through the questionnaire, please underline, or circle any words that are unfamiliar to you.

Region/Department: ___________________________________________________________________

Organization: _________________________________________________________________________

Role: Please circle the role that applies to you or specify your role under “Other” if it is not listed.

• Community Health Worker

• Nurse

• Physician

• Other

• Specify: _________________________________________________________________

1. Please indicate the level of agreement with the following statements about the presentation.

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I have a better understanding of how to use the case definition to identify Yellow Fever cases.	○	○	○	○	○
The case scenarios helped me understand the case classification of Yellow Fever (possible or suspect, probable, confirmed).	○	○	○	○	○
The presentation was well organized.	○	○	○	○	○
The presentation was clear and easy to understand.	○	○	○	○	○
The amount of information presented was adequate (not too much and not too little).	○	○	○	○	○
The content covered is relevant to my job.	○	○	○	○	○
The content covered is relevant to my local community.	○	○	○	○	○

2. Were there any terms or words in the presentation that were confusing or difficult to understand? If yes, please share.

3. Was there any information in the presentation that was confusing or difficult to understand? If yes, please share.