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Journal Club Fall Risk 2-4-25
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1.
Please rate OVERALL satisfaction of Journal Club Meeting
(Required.)
Very Dissatisfied
1 star
Dissatisifed
2 stars
Neutral
3 stars
Satisfied
4 stars
Very Satisfied
5 stars
N/A
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2.
Please rate your satisfaction with the
Journal Club Article Content
(Required.)
Very Dissatisfied
1 star
Dissatisifed
2 stars
Neutral
3 stars
Satisfied
4 stars
Very Satisfied
5 stars
N/A
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3.
Please rate your satisfaction with the format of the meeting
(Required.)
Very Dissatisfied
1 star
Dissatisifed
2 stars
Neutral
3 stars
Satisfied
4 stars
Very Satisfied
5 stars
N/A
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4.
What time during the weekday works best for you?
(Required.)
12-1 pm
3-4 pm
4-5 pm
5-6 pm
6-7 pm
7-8 pm
Other (please specify)
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5.
What day do you prefer?
(Required.)
Monday
Tuesday
Wednesday
Thursday
Other (please specify)
6.
What did you like
best
?
7.
What did you like
least
?
8.
Continuing Education Course Suggestions: Topics and/ or Speakers. Would you like to be a speaker?
9.
Would you like to facilitate a Journal Club (Approximate time commitment: 1-2 hours). Please list your name and email in comment box.
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10.
What is your primary Facility?
(Required.)
Alta Bates Medical Center
Alta Bates Medical Center - Summit
California Pacific Medical Center
Eden Medical Center
Novato Community Hospital
Memorial Hospital Los Banos
Memorial Medical Center Modesto
Mills Peninsula Health Services
Palo Alto Medical Foundation
Sutter Amador Hospital
Sutter Auburn Faith Hospital
Sutter Care at Home
Sutter Coast Hospital
Sutter Davis Hospital
Sutter Delta Medical Center
Sutter Lakeside Hospital
Sutter Medical Center, Sacramento
Sutter Medical Center, Santa Rosa
Sutter Pediatric Rehabilitation
Sutter Physical Therapy - Auburn
Sutter Physical & Hand Therapy - Davis
Sutter Physical & Hand THerapy - Elk Grove
Sutter Physical & Hand Therapy - Fairfield
Sutter Physical & Hand Therapy - Greenback
Sutter Physical Therapy - Lincoln
Sutter Physical Therapy - North
Sutter Physical Therapy - Roseville
Sutter Physical & Hand Therapy - Sacramento
Sutter Physical & Hand Therapy - Vacaville
Sutter Physical Therapy - Woodland
Sutter Rehabilitation Institute
Sutter Roseville Medical Center
Sutter Soloano Hospital
Sutter Tracy Community Hospital
Bay Region
Other Facility (please specify)
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11.
First Name
(Required.)
*
12.
Last Name
(Required.)
*
13.
What is your title?
(Required.)
Audiologist
Certified Hand Therapist
Certified Occupational Therapist Assistant
Occupational Therapist
Physical Therapist
Physical Therapist Assistant
Speech Pathologist
Certified Wound Care Specialist
Other (please specify)
*
14.
Email address - PLEASE DOUBLE CHECK TO ENSURE DELIVERY OF CERTIFICATE
(Required.)