1. What is your gender?
  • Male
  • Female
 
2. What is your cultural/ethnic background?
  • American Indian Or Alaska Native
  • Asian
  • Black Or African American
  • Native Hawaiian Or Other Pacific Islander
  • White

 

  • Ethnicity (Please select one)
  • Hispanic or Latino
  • Not Hispanic or Latino
 
3. Are you are Trainee or Practitioner/Educator?
  • Trainee
  • Practitioner/Educator
  • Both
 
4. What is your primary health profession discipline?
  • Audiologist
  • Behavioral Therapist
  • Certified Registered Nurse Anesthetist
  • Chiropractor
  • Clinical Nurse Specialist
  • Dental Hygienist
  • Dentist
  • Dietitian
  • Gerontologist
  • Health Care Services Administrator
  • Licensed Practical Nurse
  • Masters in Social Work
  • Naturopath
  • Nurse Practitioner
  • Occupational Therapist
  • Optometrist
  • Patient Care Technician
  • Pharmacist
  • Physical Therapist
  • Physician
  • Physician Assistant
  • Podiatrist
  • Public Health
  • Registered Nurse
  • Respiratory Care
  • Speech-Language Pathologist
  • Other
 
5. Generally speaking, how would you assess your knowledge of aging health care in your area?
  • None
  • Low
  • Average
  • Moderate
  • Expert
 
6. Which method(s) of training do you prefer in terms of achieving learning goals?
  • Apprenticeships
  • Coaching
  • Continuing Professional Development
  • Instructor-led distance learning via satellite broadcast
  • Instructor-led distance learning via the Internet
  • Self-directed learning via the Internet
  • Self-directed learning via CD-ROM
  • Self-directed learning via Podcast
  • Internships and Mini-Residencies
  • Mentoring
  • Peer-Based Journal Clubs
  • Peer-Based Roundtable Discussions
  • Teleconferencing
  • Workshops, seminars and classes
 
7. Where would you prefer to have training programs presented?
  • Tucson
  • Phoenix
  • Prescott
  • Flagstaff
  • It Doesn't Matter to Me
  • Other
 
8. Please select the most convenient day(s) for you to attend training programs
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Weekends
 
9. Please select the most convenient times for you to attend training programs
  • Mornings
  • Mid-Day
  • Evenings
 
10. How would you prefer longer trainings configured?
  • Half Day in the Morning
  • Half Day in the Afternoon
  • Evening Sessions
  • Multiple After-Work Sessions
  • Weekend Programs
  • Multiple Lunchtime Sessions On Consecutive Weeks
 
11. Which factors have prevented you from attending trainings in the past?
  • Cost
  • Lack of clear information on flyer
  • Inadequate time off
  • Time or days offered
  • Number of CEUs offered
  • Subject
  • Staff shortage
  • Other
 
12. Please select the aging education and training topic(s) in which you are interested
  • Advanced Care and Planning
  • Arthritis
  • Behavioral Health
  • Case Management
  • Care Coordination
  • Community Policies
  • Cardiac Care
  • Care of chronic conditions in comorbidly ill elders
  • Comprehensive Aging Assessment
  • COPD
  • Cultural competency
  • Deconditioning
  • Delirium
  • Dementia
  • Dental and Oral Care
  • Diabetes
  • Elder Abuse and Neglect
  • Emergency Department Issues in the Aged
  • End of life
  • Falls
  • Frailty
  • Functional Assessment
  • Infectious Disease in the Aged
  • Information Systems in geriatric care
  • Malnutrition/dehydration
  • Optimal Aging
  • Patient Safety
  • Palliative Care
  • Polypharmacy
  • Primary Prevention
  • Sensory deficits
  • Sleep disorders
  • Surgery
  • Transitional Care
  • Urinary Incontinence
  • Wound Care
 
13. How do you prefer we contact you, in advance, about our training events?
  • Email
  • US mail
  • Website
  • Professional organization
  • Newsletter
  • Phone call
 
14. How much would you or your employer be willing to pay for a 10-20 contact hours in aging education event?
  • Free of charge
  • $50-$75
  • $75-$125
  • $125-$150
 
15. Have you ever attended an Arizona Geriatric Education Center or Arizona Center on Aging sponsored event in the past?
  • Yes
  • No
 
16. When referring to medical content about elders, do you prefer the term "Geriatrics" or "Aging?"
  • Geriatrics
  • Aging
  • It doesn't matter to me
 

Thank you for your valuable input. If you have any concerns or questions about this survey, please contact AzGEC via email: (Morrison@aging.arizona.edu or phone: (520) 626-5803. When you are finished responding to all the questions, please click on the "Submit" button below to send it electronically.