Training Evaluation Form

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Laboratory Screening for Pediatric Obesity
Training Evaluation Form
Date:
Location/Clinic:
I am a: (Please check one):
doctor
health educator
medical assistant
nurse
nurse practitioner
nutritionist/dietitian
other staff (please specify):
1. After this presentation will you be ordering more glucose/cholesterol screening tests for overweight
and/or obese children?
YES
NO
If no, please explain.
3. Was the time allowed for the presentation sufficient for you to understand the material?
YES
NO
Comments:
4. Did the presenter deliver the presentation in an effective manner?
YES
NO
What could be improved?
5. Would you recommend this presentation to other health care providers?
YES
NO
6. Other Comments /Suggestions:
Thank you!

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