Evaluation: Health Center Recruitment and Retention Webcast

1. Evaluation Introduction: Contact Information and Satisfaction

Thank you for attending "Health Center Recruitment and Retention: Maximize Your Success!" This live and archived webcast was originally held on March 19, 2013 and was sponsored by CHAMPS.

Please complete the following evaluation questions so we can review our goals, objectives, and topics for future events. If you complete the Evaluation Questions and provide your contact information, you will receive a Certificate of Participation for this event within six weeks. If you complete the Evaluation and Recertification Credit questions, you will receive a Credit Certificate within six weeks.

Viewers of the live webcast: please complete and submit this Evaluation/CE information no later than Tuesday, March 26, 2013. (Evaluation and credit information for the online archive of this event will be accepted until March 18, 2014; approval of credit for the online archive is pending.)

Question Title

* 1. Please provide your contact information. This is required if you would like to receive a Certificate of Participation or Recertification Credit for this event.

First Name

Last Name, Credentials

Title

Organization

Address

City, ST

ZIP

Email Address

Phone Number

Question Title

* 2. Are you requesting Credit for this event? (1.25 General recertification credit hours toward PHR, SPHR and GPHR recertification through the HR Certification Institute for the LIVE and ONLINE ARCHIVED versions of the event; credit is NOT available for the CD version.)

(A $15 per person fee applies for persons working at organizations that are not current CHAMPS Organizational members.)

Yes

Question Title

* 3. Which version of this event ("Health Center Recruitment and Retention: Maximize Your Sucess!") did you watch in advance of completing this Evaluation/Credit questionnaire?

Live Online Event (broadcast on 03/19/13)

Online Archive

CD Archive (not yet available)

Question Title

* 4. Please rate your overall satisfaction with this webcast on a scale of 1-10 (1 being the worst possible rating and 10 being the best possible rating).

	1 (worst possible)	2	3	4	5	6	7	8	9	10 (best possible)
Satisfaction	Satisfaction 1 (worst possible)	Satisfaction 2	Satisfaction 3	Satisfaction 4	Satisfaction 5	Satisfaction 6	Satisfaction 7	Satisfaction 8	Satisfaction 9	Satisfaction 10 (best possible)

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