Knight ADRC Education Core Database
Public Event Entry Screen
___________________________________________________________________________________

Any public education event that does not involve a traditional lecture/presentation format is appropriate for entry on this page. For example, the Knight ADRC co-sponsored a play with the St. Louis Black Repertory Company in April 2001. This event reached a large audience with an educational message, but it was not a typical academic-style presentation. 

Please fill in the requested information below. Most important fields are in RED. Leave blank those fields that do not apply or for which information is not available.

Name of person making this entry:

Coordinator or Contact Person for Event:  (First Name - Last Name)

Date of Event (s): (e.g., 4/2/01 & 4/9/01)

Name or Title of Event: 

Topical Focus of Event: 
                                                (e.g., quality of life in dementia)

Sponsor 1: (e.g., Knight ADRC)

Sponsor 2: (e.g., Alzheimer's Association)

Sponsor 3: (e.g., Novartis - Funding Supporter)

Sponsor 4: (if applicable)

Educational Target:

Duration of Event (in hours):  (e.g., 2.5 for two and a half hours)

Approximate Number in Attendance:                               Go to SUBMIT Button

_____________________________________________________________________
Optional:

Please estimate the % of individuals present 
from the following categories:

                                                                                                       
African American     (% of total audience)


Lay / Caregiver         (Together must add to 100%)
Physician                  
Nurse                         
Other Health Prof.    

Did this event meet its educational and/or outreach goals?

Were evaluation forms distributed?    

If yes, what was the average overall quality rating?
                                                                                                 (e.g., 4.23 on a 1-5 Scale; 5 = Excellent)

Comments:

Use of abbreviations is OK. You are limited to 255 characters in this box. If you need to convey more information about your entry, please e-mail your comments to Tom Meuser, Education Director.