AHEC participant type (Select all that apply by holding down the ctrl key)

I am a

Number of years involved with AHEC (1-10)

Home AHEC Region

Ethnicity

Demographics (optional) Select all that apply by holding down shift key.

How many workshops/programs/ meetings did you attend between 7/1/2011-6/30/2012

The workshops/programs/meetings were scheduled appropriately throughout the year to meet my expectations?

Every event
Most
Some
Few
None

I received the notification of the workshop/programs/meetings in time to work into your schedule?

Every event
Most
Some
Few
None

Attending the workshops/programs/meetings. Select all that apply

I plan to have a career in the healthcare industry

Yes
No

If no, what did contribute to your change in career choice? Select all that apply

Explain:

If you are no longer interested in a healthcare career, did the workshops/programs/meetings help you make that decision?

Yes
No

CAREER PLANNING: Check the responses that apply in the following questions if you participated in any career planning/goal setting with an AHEC staff member

The career planning/goal setting had value to me as I made my plans for this school year.

Yes
No

The career planning/goal setting session had value to me as I made long term plans to become a health professional.

Yes
No

Select the career planning/goal setting components that were helpful to you:

Explain:

Please rate the AHEC staff on a scale of 1(low)-10 (high):

Quality of advice provided by AHEC staff:

Amount of time spent with AHEC staff

I took the National Health Skills Exam pre-test? (100 question online test)

Yes
No

The pre-test helped me understand areas I need to work on.

Yes
No

I completed online learning modules (specifically HealthCenter 21).

Yes
No

The online modules helped me prepare for passing the National Healthcare Skills post-test.

Yes
No

Rate the overall value of the modules in your preparation to be the best candidate for a health professional program.

Very helpful
Helpful
Okay
Not very helpful
Not at all helpful

I would recommend the online modules to other students.

Yes
No

Which modules that you completed would you suggest we continue to assign to ACES? (Hold down ctrl key to select multiple)

Select all other AHEC assistance you have received. (Hold down ctrl key to select multiple)

Other opportunities not listed above:

Rate the value of other AHEC assistance to you:

Very helpful
Helpful
Okay
Not very helpful
Not at all helpful

What did you value most from assistance available to you?

What did you value least from assistance available to you?

What needs did you have that were not met?

What was missing from the programming?

Rate the overall benefit to you.

Very beneficial
Beneficial
Somewhat beneficial
Not beneficial

I plan to continue my involvement with AHEC

Yes
No

PARENTS

PARENTS

Did your student benefit from participation with AHEC?

Yes
No comment

Did the program meet your expectations

Yes (describe benefit(s) below
No (tell us how we can improve)

Comments:

I support my student's continued pursuit of a health career.

Yes
No

Additional Comments: