Evaluation Form

The Coalition for Health Services Research is the advocacy arm of AcademyHealth providing a unified voice for advancing the field of health services research.

Your feedback on this webconference is very important to us. Please take a few minutes to evaluate the session.

1. An unlimited number of listeners could participate in the webconference utilizing a single hookup. How many individuals participated from your site?

On a scale of 1-5 (with 5 the highest):	1	2	3	4	5
2. How would you rate the webconference overall?
3. How useful was the information presented?
4. How well did the webconference technology work overall?
a. How clear were the instructions for accessing the webconference?
b. How easily were you able to log on to the webconference?
c. How easily were you able to dial-in to the webconference?
d. Once connected to the webconference, how easily could you hear and follow the panelists' presentations?
e. How easily were you able to ask questions of the panelists?
5. How likely would you be to participate in future webconferences and workshops to learn more advocacy strategies?
6. After participating in this webconference, how likely would you be to reach out to policymakers and share your research, expertise, or opinion?

7. If you'd participate in future webconferences and workshops, which topics might interest you (check all that apply)?

Impact 201: Using the Media as Your Messenger
Impact 301: Influencing Policy through Congressional Hearings
Impact 401: Navigating the Regulatory Process

8 We welcome your suggestions for future topics related to advocacy and grassroots mobilization (please list)

9. Please share any other comments about your webconference experience, as well as suggestions that will help the Coalition facilitate future webconferences: