Health Equity CoP Self-Learning Post-Session Evaluation Survey

Health Equity CoP Self-Learning Post-Session Evaluation Survey

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Please complete the following questions. Comments and quotes may be shared for promotional purposes. All comments and quotes shared will be anonymous.

Your comments are greatly appreciated. Thank you!

Attestation: By responding to the following questions, I confirm that I have completed the Health Equity CoP self-learning activity (reviewed recording and resources).

Name*

Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last

Email*

Indicate the number of sessions you are requesting credits for (numerical, i.e., 2) and the dates of the sessions. Please enter date as Month-Day-Year (June 19, 2025). The session dates are found in the description of each past event on the Past Health Equity Communities of Practice page.

Number of session(s) you reviewed: **

Session Date(s):*

Please provide your CFPC number below for direct credit entry.

CFPC Number:

If you have questions(s) after reviewing the Health Equity CoP session material (recording and resources), please ask them below. You are not required to ask a question to earn credits. If you have no questions, please leave this text box blank.

If you have questions, please indicate which session(s) you have questions about.

My Questions:

Please provide your responses to the following questions.

My overall experience was positive.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

The session was relevant and applicable to my practice. As a result, I am motivated to take action.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

On reflection, please share a way that the community of practice sessions have helped you address some of the daily challenges of practice:

Did you perceive any degree of bias in any part of the program?*

YesNo

If you perceived bias in any part of the program, please explain below:

Please identify your practice model and practice region using the options below.

My Practice Model*

Community Health Centre (CHC)Comprehensive Care Model (CCM)Family Health Group (FHG)Family Health Network (FHN)Family Health Organization (FHO)Family Health Team - Family Health Network (FHT - FHN)Family Health Team - Family Health Organization (FHT-FHO)Family Medicine Resident (PGY1, PGY2)Fee for Service (FFS)GP Focused PracticeMedical StudentOntario Health Team (OHT)Royal College SpecialistRural Northern Physician Group Agreement (RNPGA)Not ApplicableOther (please specify)

Other Practice Model

My Practice Region **

West Region (ESC, SW, WW, HNHB)Central Region (MH, CW, C, NSM)Toronto Region (TC)East Region (SE, CE, CH)North Region (NE, NW)Not Applicable

Thank you for completing this session(s) of the Health Equity CoP Self-Learning Program.

Certificates of Attendance for the self learning sessions are issued by email once per month, at the beginning of the month following when the self-learning activity is completed. If you provided your CFPC number above, your Mainpro+ credits will be directly entered. Please note that the processing time for adding Mainpro+ credits to your account has increased. The CFPC is making every effort to add your credits in a timely manner, but some delays may occur. Your patience is appreciated.

If you have any questions, please email ocfpcme@ocfp.on.ca.

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