Clinical Program Evaluation Form
Completion of the Certificate Program Evaluation Form is required when applying for continuing education credits/units prior to completing the Certificate Program and prior to the award of the Certificate after all course requirements are complete.
Quantitative Assessment.
5=excellent; 4=above average; 3=average; 2= below average; 1=poor
· Assess the extent to which the program met the stated Objectives.
Please circle: 5 4 3 2 1
· Assess the quality of the program’s Faculty.
Please circle: 5 4 3 2 1
· Assess the overall quality of the program’s Ethics Curriculum, including the Selection of Topics.
Please circle: 5 4 3 2 1
· Assess the quality of the program’s Reading Components.
Please circle: 5 4 3 2 1
· Assess the quality of the program’s Training in Clinical Ethics Skills.
Please circle: 5 4 3 2 1
· Assess the usefulness of the program’s Distance Learning Case Studies.
Please circle: 5 4 3 2 1
· Assess the usefulness of the program’s Capstone Project.
Please circle: 5 4 3 2 1
· Assess the quality of the program’s On-Site Seminars.
Please circle: 5 4 3 2 1
· Assess the program’s Quality of Organization.
Please circle: 5 4 3 2 1
· Assess the program’s Ease of Use.
Please circle: 5 4 3 2 1
Qualitative Assessment.
· What was the program’s most useful aspect?
Reply:
·What was the program’s least useful aspect?
Reply:
·What part of the program needs improvement?
Reply:
· What topics for future programs would interest you?
Reply:
Note. This Program Evaluation form must be completed and submitted with applications for Continuing Education Credits/Units.
Department of Health Care Ethics
Mailing Address: Department of Health Care Ethics
221 North Grand Blvd., St. Louis, MO 63103-2006
Campus address: O'Brien Hall, Frost Campus
Telephone: (314) 977-6661
Fax: (314) 977-5150
