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Uterine evacuation with manual vacuum aspiration ... - CommonHealth

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Tool A-5:<br />

MVA 101 Course Evaluation<br />

INSTRUCTIONS: Insert date and location at top of evaluation and delete instructions. Provide Course Evaluation to<br />

all participants at the end of the course and ask them to complete and turn in before leaving. Study the responses<br />

after the course, <strong>with</strong> the goal of using responses to improve and adapt the course for future offerings.<br />

MVA 101: Introduction to MVA Course Evaluation<br />

DATE:______________________________LOCATION:_________________________<br />

Course Objective:<br />

Be familiar <strong>with</strong> the Ipas MVA product line and know how to re-supply<br />

4 = strongly agree 3 = agree 2 = disagree 1 = strongly disagree<br />

Rating<br />

1. The course fulfilled its goal and objective (see above). ______<br />

Comments:<br />

2. The trainers were responsive to participants’ needs. ______<br />

Comments:<br />

3. Because of this course, I have a better understanding of the importance of MVA and how to use it.<br />

Comments:<br />

_______<br />

4. Now that I have completed this course, I feel (please circle the appropriate response):<br />

a. Ready to take the next two courses before offering care <strong>with</strong> MVA to women<br />

b. That this procedure is not one I would choose to provide<br />

c. Prepared to promote (but not provide) MVA services<br />

d. Other [please describe]<br />

UTERINE EVACUATION WITH MVA: A TRAINING MANUAL FOR CONDUCTING SHORT COURSES Page 6

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