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MPROvE Precourse Needs Assessment

Pre-course Questionnaire

1.Name (as it should appear on the certificate)
2.Please enter your email address (correctly) to send the course work
3.Have you any experience of neonatal simulation as an instructor?
4.What are you hoping to achieve from this course?
5.Have you attended any previous courses?
6.How often do you use neonatal simulation as an education tool?
7.How confident do you feel
Never done and had no training
Had training but never done it
Had training and done it but lack confidence and will benefit from additional training
Had training and confident enough to do it with support from an experienced facilitator or peer
Confident to run it independently
Designing a scenario
Running a multidisciplinary neonatal simulation
Debriefing a multidisciplinary neonatal scenario
Lead and develop a neonatal simulation programme
Run a scenario where the baby dies
8.How do you intend to use the training provided?
9.How would you describe your learning style? (More than one answer possible)