SAS Development Fund Evaluation Form - Individual Courses

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1.1. Surname Required

2.2. First Name Required

3.3. Email address Required

4.4. Trust Required

Please select Aintree University Hospital NHS Foundation Trust Alder Hey Children's Hospital NHS Foundation Trust Blackpool Teaching Hospitals NHS Foundation Trust Bolton NHS Foundation Trust Bridgewater Community Healthcare NHS Foundation Trust Cheshire & Wirral Partnership NHS Foundation Trust The Christie NHS Foundation Trust Countess of Chester Hospital NHS Foundation Trust Cumbria Partnership NHS Foundation Trust East Cheshire NHS Trust East Lancashire Hospitals NHS Trust Greater Manchester Mental Health NHS Foundation Trust Isle of Man Nobles Hospital Lancashire Care NHS Foundation Trust Lancashire Teaching Hospitals NHS Foundation Trust Liverpool Heart & Chest Hospital NHS Foundation Trust The Royal Liverpool and Broadgreen University Hospitals Liverpool Women’s NHS Foundation Trust Palliative Medicine Mersey Care NHS Foundation Trust Manchester University NHS Foundation Trust - Oxford Road/ Trafford General Manchester University NHS Foundation Trust - Wythenshawe Mid Cheshire Hospitals NHS foundation Trust University Hospitals of Morecambe Bay NHS Foundation Trust North West Boroughs Healthcare NHS Foundation Trust Pennine Acute Hospitals NHS Trust Pennine Care NHS Foundation Trust Salford Royal NHS Foundation Trust Southport and Ormskirk Hospital NHS Trust St Helens & Knowsley Teaching Hospitals NHS Trust Stockport NHS Foundation Trust Tameside & Glossop Integrated Care NHS Foundation Trust The Walton Centre NHS Foundation Trust Warrington & Halton Hospitals NHS Foundation Trust Wirral University Teaching Hospital NHS Foundation Trust Wrightington, Wigan & Leigh NHS Foundation Trust Other

a.4.a. If you selected Other, please specify:

5.5. Name of course

6.6. Date course attended Required

7.7. Who was the course aimed at? Required

8.8. What were your aims for attending this course? Required

9.9. Did this course meet your aims & expectations? Required

Exceeded

Yes

Partially

Not at all

a.9.a. If your needs were not met, please explain why

10.10. How has this course contributed towards your career development? Required

Skills for a new clinical role

Skills for a new educational role

Skills for a new managerial role

Contribution towards CESR

Coaching/ mentoring to support my development & enhance service delivery

a.10.a. Please specify

This part of the survey uses a table of questions, view as separate questions instead?

11.11. Please explain how the SAS Development Fund granted for this course has supported:

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	Required
You
Other SAS Doctors
Your Department/ Trust
Patients

12.12. Was this course value for money? Required

Yes

Maybe

No

13.13. Would you recommend this course to colleagues? Required

Yes

Maybe

No

14.14. Any additional comments Required