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* 1. Please complete the following information:

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* 2. Today's Date (mm/dd/yyyy)

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* 3. Location

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* 4. Program ID

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* 5. CEU

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* 6. How did you learn about this NRRTS webinars?

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* 7. Overall, I rate the webinar as (5=highest, 1=lowest)

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* 8. Webinar was well planned.

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* 9. Handouts were useful.

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* 10. Learning objectives were outlined.

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* 11. Presenter was prepared to present content.

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* 12. Presenter was knowledgeable.

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* 13. Presenter’s teaching style was appropriate.

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* 14. Presenter provided opportunities to ask questions.

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* 15. Presenter provided contact information

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* 16. Did the instructor provide feedback on the mastery of the learning outcomes to the learners

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* 17. Objective #1: The participant will be able to list the 9 components of the wheelchair service delivery guide.

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* 18. Objective #2: The participant will be able to describe updates to the literature as it relates to the wheelchair service delivery process

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* 19. Objective #3: The participant will be able to compare and contrast the application of the guide to different service delivery models

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* 20. Objective #4: The participant will be able to apply the wheelchair service delivery model to a case example.

Please consider each test question carefully. You must score 70% to receive .1 CEU.

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* 21. Test Q1. The four components of assistive technology include the following:

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* 22. Test Q2. The three components of evidence based practice include the following:

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* 23. Test Q3. The types of outcome measure include the following:

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* 24. Test Q4. The Wheelchair Service Provision Guide includes the following components except:

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* 25. Test Q5. Which of the following journal articles do not describe a wheelchair or assistive technology service delivery process?

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* 26. Please share any comments or suggestions for improving this webinar

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* 27. Please share any topic ideas for future webinars.

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* 28. What is your role in the CRT Industry?

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