Speaker and Moderator Satisfaction Survey

• Speaker and Moderator Satisfaction Survey

• Welcome to Qatar’s Person-Centered Care Virtual Forum 2021 Survey.
  
  The theme this year is ‘Compassion in Action: Spread Kindness with the core learning areas focused on the five (5) learning tracks:
  
  
  1. Measuring and Improving What Matters
  This track will focus on discussing ways to measure compassion and caring. Using the data to make improvements, recognizing the importance of both qualitative and quantitative data.
  
  2. Service Excellence
  This track will focus on best practices of excellence. Looking for those unique practices in PCC that really shine in supporting PCC objectives.
  
  3. Driving a Transformation
  This track will focus on how to change a culture and manage the culture change in a meaningful and sustainable way.
  
  4. Leading in Person-Centered Care
  This track will focus on how to lead person-centered practices, lead in person-centered behavior expectations and/or lead your team in a person-centered way by focusing on person-centered practices, values, strategy, and a shared sense of purpose. The sessions in this track are relevant and applicable for both seasoned and emerging leaders.
  
  5. Partnerships with Patients, Families, Staff, and the Community
  This track will focus on how to operationalize the implementation of practices at the point of care to increase access, inclusion, and engagement.
  
  We are asking for a few minutes of your time to take part in this survey to gather information about your overall experience and satisfaction of this event. We will also ask your recommendations for improvement and future development. This will help us understand your expectations and provide quality services on the upcoming Person-Centered Care forums.
  
  This survey will take less than 5 minutes to complete, your participation is anonymous, and all information will be kept confidential. Your answers will be analyzed collectively along with other attendees, will not be shared with any other parties, and won’t be used for anything except in this survey.

• We like to know more about you. Kindly tick the box, relevant to your answer per question:

• Q1: Please record your gender. *
  Q1: Please record your gender.

  Male Female
• Q2: Please record your age group. *
  Q2: Please record your age group.

  Under 21 21-29 30-39 40-49 50-60 61 and above
• Q3: Are you currently residing in Qatar? *
  Q3: Are you currently residing in Qatar?

  Yes, I live in Qatar No, I live outside of Qatar
• Q4: Please select your area of residence in Qatar below. *
  Q4: Please select your area of residence in Qatar below.

  Doha Al Rayyan Al Wakrah Al Khor Umm Salal Al Shamal Al-Shahaniya (Dukhan) Al Daayen Other Other
• Q5: What is your country of residence at the moment? *
  Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor-Leste) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon The Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Macedonia Norway Oman Palestine Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe
• Q6: Kindly indicate your nationality. Please select from the list below. *
  Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor-Leste) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon The Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Macedonia Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe

• Now, we would like to get your feedback on your experience at the Person-Centered Care Virtual Forum 2021.

• Q7: What is your role? *
  Q7: What is your role?

  International Speaker Local Speaker Local Moderator International Moderator

• Q8: Please indicate your level of agreement with the following statements *

  Q8: Please indicate your level of agreement with the following statements	Strongly disagree	Disagree	Neutral	Agree	Strongly agree	Not Applicable
  Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time	Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time Strongly disagree	Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time Disagree	Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time Neutral	Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time Agree	Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time Strongly agree	Briefing for the Person-Centered Care Virtual Forum 2021 was provided on time Not Applicable
  Sufficient logistical support was provided	Sufficient logistical support was provided Strongly disagree	Sufficient logistical support was provided Disagree	Sufficient logistical support was provided Neutral	Sufficient logistical support was provided Agree	Sufficient logistical support was provided Strongly agree	Sufficient logistical support was provided Not Applicable
  The virtual platform was suitable for learning sessions	The virtual platform was suitable for learning sessions Strongly disagree	The virtual platform was suitable for learning sessions Disagree	The virtual platform was suitable for learning sessions Neutral	The virtual platform was suitable for learning sessions Agree	The virtual platform was suitable for learning sessions Strongly agree	The virtual platform was suitable for learning sessions Not Applicable
  Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation	Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation Strongly disagree	Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation Disagree	Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation Neutral	Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation Agree	Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation Strongly agree	Overall, the Person-Centered Care Virtual Forum 2021 learning objectives were clearly communicated to be aligned with the teaching presentation Not Applicable

• Q9: How can we further improve on the overall program design of the Person-Centered Care Virtual Forum 2021? Please select from the answers below. *
  Q9: How can we further improve on the overall program design of the Person-Centered Care Virtual Forum 2021? Please select from the answers below.

  Expand the program and add more days Add a 1-hour presentation Others, please specify Others, please specify

• Q10: How interested were the delegates attending the Person-Centered Care Virtual Forum 2021 sessions? *

  Q10: How interested were the delegates attending the Person-Centered Care Virtual Forum 2021 sessions?	Not interested at all	Not interested	Indifferent	Interested	Extremely Interested
  Interest level of the delegates	Interest level of the delegates Not interested at all	Interest level of the delegates Not interested	Interest level of the delegates Indifferent	Interest level of the delegates Interested	Interest level of the delegates Extremely Interested

• Q11: What feedback did you receive from the delegates?
  Please type in your answer in the box below. *

• Q12: How would you rate your satisfaction with the Person-Centered Care Virtual Forum 2021? *

  Q12: How would you rate your satisfaction with the Person-Centered Care Virtual Forum 2021?	Very unsatisfied	Unsatisfied	Indifferent	Satisfied	Very satisfied
  Satisfaction of the Person-Centered Care Virtual Forum 2021	Satisfaction of the Person-Centered Care Virtual Forum 2021 Very unsatisfied	Satisfaction of the Person-Centered Care Virtual Forum 2021 Unsatisfied	Satisfaction of the Person-Centered Care Virtual Forum 2021 Indifferent	Satisfaction of the Person-Centered Care Virtual Forum 2021 Satisfied	Satisfaction of the Person-Centered Care Virtual Forum 2021 Very satisfied

• Q13: How would you rate your satisfaction with the convenience of the virtual platform? *

  Q13: How would you rate your satisfaction with the convenience of the virtual platform?	Very unsatisfied	Unsatisfied	Indifferent	Satisfied	Very satisfied
  Convenience of the virtual platform	Convenience of the virtual platform Very unsatisfied	Convenience of the virtual platform Unsatisfied	Convenience of the virtual platform Indifferent	Convenience of the virtual platform Satisfied	Convenience of the virtual platform Very satisfied

• Q14: Overall, how would you rate your satisfaction with the Person-Centered Care Virtual Forum 2021? *

  Q14: Overall, how would you rate your satisfaction with the Person-Centered Care Virtual Forum 2021?	Very unsatisfied	Unsatisfied	Indifferent	Satisfied	Very satisfied
  Overall satisfaction	Overall satisfaction Very unsatisfied	Overall satisfaction Unsatisfied	Overall satisfaction Indifferent	Overall satisfaction Satisfied	Overall satisfaction Very satisfied

• Q15: What feedback or suggestions can you provide to further improve the overall Person-Centered Care Virtual Forum 2021? Please type in your answer in the box below. *
• Q16: Was the Conflict of Interest declared before your presentations? *
  Q16: Was the Conflict of Interest declared before your presentations?

  Yes No
• Q17: How would you rate the overall organization of the forum? *
  Q17: How would you rate the overall organization of the forum?

  Poor Fair Good Very Good Excellent
• Q18: Please specify your suggestions on how to identify or address the learning gaps of the participants to focus on future Person-Centered Care forums. Please type in your answer in the box below.