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Reach · Feedback sheet
Portals and video appointments: the feedback sheet.
Anonymous and optional. Print one for each person, hand it out at the start and collect it, folded, at the end. Part A and Part B rate the same four statements, taken from what this session sets out to teach.
How to use it and count the answers: the feedback guide.
Moraph for Good · Reach
Portals and video appointments
Feedback · moraph.org/commons/sessions/reach/portals-and-video-appointments
Anonymous and optional. Please don’t write your name or anything about yourself. Your sheet goes to the host of this session, who counts the answers to help make the sessions better.
Part A Before we start
How sure are you that you can do each of these today? Tick one box on each line.
| Statement | Not at all sure | A little sure | Fairly sure | Very sure |
|---|---|---|---|---|
| 1I can explain what a patient portal is and what it is usually used for. | ||||
| 2I can list the steps to set up a portal account safely. | ||||
| 3I can prepare for and join a video appointment, and ask for alternatives I need. | ||||
| 4I can spot common signs of a health-related scam and know where to report one. |
Fold here, so your Part A answers are hidden. Fill in Part B at the end.
Part B After the session
Now that the session is over, how sure are you? Tick one box on each line.
| Statement | Not at all sure | A little sure | Fairly sure | Very sure |
|---|---|---|---|---|
| 1I can explain what a patient portal is and what it is usually used for. | ||||
| 2I can list the steps to set up a portal account safely. | ||||
| 3I can prepare for and join a video appointment, and ask for alternatives I need. | ||||
| 4I can spot common signs of a health-related scam and know where to report one. |
- Was the session clear?YesPartlyNo
- Did anyone try to sell you something, or push you to do something?YesNo
- What would you like a session on next?
Thank you. Hand this sheet back to the host, folded. Free to copy and adapt. moraph.org/commons/sessions/reach/portals-and-video-appointments/feedback