1. An apparatus for determining change in test results, the apparatus comprising: a storage module that stores a plurality of questions and a correct answer to each question in a data storage repository, the plurality of questions related to health; a pre-test module that submits a group of pre-test questions to a user and receives answers to the pre-test questions from the user (“pre-test answers”), the group of pretest questions selected from the plurality of questions; a post-test module that, in response to the user being exposed to educational material related to the pre-test questions, submits a group of post-test questions to the user and receives answers to the post-test questions from the user (“post-test answers”), wherein the post-test questions are selected from the plurality of questions and are related to the educational material, the educational material related to health; a grading module that compares the pre-test answers and the post-test answers to the correct answer for each corresponding question and marks an answer correct in response to the answer matching the correct answer for the corresponding question; and a summary creation module that creates a session summary comprising a comparison between the pre-test answers and the post-test answers and sends the session summary to a secure session summary database at one or more of a health provider; a corporate wellness provider; a personal health records system; and an electronic medical records system, wherein the secure session summary database and the send transaction are Health Insurance Portability and Accountability Act (“HIPAA”) compliant and the session summary is incorporated into a personal health record of the user such that access to the session summary is limited to one or more users having access to the personal health record of the user, wherein the pre-test questions and post-test questions are submitted over a computer network and the pre-test answers and post-test answers are received over the computer network.