Compassionate Care Alliance : Advance Care Planning Workshop

Advance Care Directives:
Realities & Challenges in Monterey County
Evaluation Form

1. Was culturally-relevant information presented at today’s activity? (Culturally-relevant is age, race, gender, ethnicity, etc.)
	No Yes ... What?
Comments:
2. Did you gain new knowledge from this activity?
	No Yes ... What?
Comments:
3. Will you apply what you learned to your work?
	Not Applicable No ... Why not? Yes ... How?
Comments:
4. If you answered yes to #2 and/or #3, may we contact you via email later to ask if you made changes?
	Yes No
Name:
Profession:
Phone:
Email:

Compassionate Care Alliance
P.O. Box 1785, Monterey, CA 93942
(831) 655-9506
Contact Us