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South East Area Health Education Center is inviting your participation in a learning needs assessment for the SEAHEC Nursing Continuing Education Department.

This survey is one component in the determination of continuing educational programs offered during the year. The results of the survey are an invaluable tool to assist in prioritizing the activities offered.

The survey will take no more than 5-10 minutes to complete. Information obtained will be kept confidential. Please complete the survey by September 15, 2013.

Thank you for your participation,

SEAHEC Nursing Continuing Education

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* 1. What is your title?

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* 2. What is your highest level of education?

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* 3. Are you certified?

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* 4. Are you a member of:

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* 5. Please list your clinical area or specialty:

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* 6. Please list any specific learning needs in your clinical area or speciality:

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* 7. What is your perceived benefit of attending continuing nursing education? (Check all that apply)

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* 8. What are the barriers to you attending continuing nursing education? (Check all that apply)

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* 9. How would you prefer to have your continuing nursing education delivered? (Check all that apply)

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* 10. What schedule of CE activities are you more likely to attend? (Check all that apply)

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* 11. Where do you obtain the majority of your continuing education?

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* 12. Please choose the clinical topics that are a learning need (Check all that apply)

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* 13. Please choose the Professional Development topics that are a learning need (Check all that apply)

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* 14. Please list any additional educational needs:

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