Module questionnaire - CHSS eLearning

• In order to receive a confirmation certificate indicating that you have accessed the resource please provide some personal information. This is required to create your certificate and will also assist us in evaluating the module.

Each of the Managed Clinical Networks (MCNs) in Scotland will be given the names of those who have accessed this Module within their areas. Once you have completed the questionnaire you will be able to download a confirmation of access pdf certificate by clicking on the hyperlink at the end of questionnaire.
Name*
First Last
Email*
Do you live / work in Scotland?*
- Yes
- No
Are you:*
- Employed by NHS
- Employed by Local Authority/Private/Voluntary sector
- A student
- A Carer or other
- Employed by Scottish Ambulance Service
- Employed by University or other Higher Education
Do you work in a:*
- Hospital
- Community
Name of service (eg ESD, GP surgery):

Enter your service name
Ward no. / name:*
You work in:*
Choose your work environment
Is this ward a Stroke Unit?*
- Yes
- No
Hospital name*
Name of institution:*

Enter the name of your institution
Town / City:*

Enter the town / city where you work
NHS Board*
Select your NHS Board
You are
- an AHP student
- a Medical student
- a Nursing student
Carer*
- Carer
- Person who has had a stroke
Your profession*
Select your profession
Profession (other)*
AfC Band*
Select your AfC band
University / College*
Select your University / College
Country*
Select your country
You are a(n):*
- Clinical Academic
University / College*
This is the module questionnaire for ‘STARs Advancing 20: Hyperacute stroke decision making for clinicians’.

There are 5 questions and you must answer all of these to obtain a certificate of attendance.

You should allow approximately 5 minutes to complete this questionnaire.

Have you completed the module?
- Yes, entirely.
- Not yet but I will complete it.
- No, I am not interested in completing the module.

If you have not completed the module, why?

How likely was this module useful for your practice?*
Very Unlikely Unlikely Neutral Likely Very Likely
How likely is it you would recommend this module to a colleague?*
Very Unlikely Unlikely Neutral Likely Very Likely

Stroke Training and Awareness Resources (STARs)