Health Science Student CARDIAC Project Evaluation
Thank you for taking the time to fill out the HSS CARDIAC Project Evaluation Form. This form should be completed by Health Science students who participated in screening day activities for the CARDIAC WV project. When completed, simply click on the submit button at the bottom of the form. Fields marked with (*) are required.
1. What University/College are you enrolled in?*
Please select a school
West Virginia University
Marshall University
WV School of Osteopathic Medicine
Alderson Broaddus College
Mountain State
West Liberty College
WVU-Charleston
WVUIT
2. Select Discipline: *
Please select discipline
Medicine
Nursing
Certified Nurse Administrator
Certified Nurse Midwife
Clinical Psychologist
Counseling Psychologist
Dentistry
Dental Hygeine
Health Administration
Masters of Public Health
MS-Nursing
Medical Resident
Medical Technology
Nurse Practitioner
Occupational Therapy
Pharm D
Pharmacy Technician
Physician Assistant
Physical Therapy
Physical Therapy Assistant
Social Work
Other, specify in Comments
3. County of rotation: *
Please select county
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
Marion
Marshall
Mason
McDowell
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasant
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
4. Overall, how would you rate your experience working with the CARDIAC Project?
Very poor
Poor
Good
Very good
Excellent
5. Do you feel that the CARDIAC Project helped you in understanding the application of public
health at the community level?
Not
helpful
Somewhat
helpful
Helpful
Very
helpful
Extremely
helpful
6. Do you feel that school-based blood cholesterol screening of children is a worthwhile
initiative in the overall context of primary prevention of cardiovascular disease?
Not
worthwhile
Somewhat
worthwhile
Worthwhile
Very
worthwhile
Extremely
worthwhile
7. Does the CARDIAC Project prepare you to teach children and their parents concepts of
disease prevention, such as diet, exercise and tobacco avoidance?
Does
not prepare
Somewhat
prepares
Prepares
Prepares
well
Prepares extremely well
8. Additional Comments:
©2004 CARDIAC WV Project. All rights reserved.